[Acute respiratory failure in tropical malaria during pregnancy. Successful treatment using extracorporeal CO2 elimination].
Identifieur interne : 002D12 ( Main/Exploration ); précédent : 002D11; suivant : 002D13[Acute respiratory failure in tropical malaria during pregnancy. Successful treatment using extracorporeal CO2 elimination].
Auteurs : M. Neurath ; A. Benzing ; P. Knolle ; H. Grundmann ; W. Dippold ; K H Meyer Zum BüschenfeldeSource :
- Deutsche medizinische Wochenschrift (1946) [ 0012-0472 ] ; 1993.
Descripteurs français
- KwdFr :
- Adulte, Association de médicaments, Chloroquine (usage thérapeutique), Complications parasitaires de la grossesse (traitement médicamenteux), Césarienne, Dioxyde de carbone (sang), Femelle, Grossesse, Humains, Maladie aigüe, Oxygène (sang), Oxygénation extracorporelle sur oxygénateur à membrane, Paludisme à Plasmodium falciparum (), Paludisme à Plasmodium falciparum (traitement médicamenteux), Poumon (imagerie diagnostique), Pyriméthamine (usage thérapeutique), Quinine (usage thérapeutique), Syndrome de détresse respiratoire de l'adulte (), Syndrome de détresse respiratoire de l'adulte (étiologie), Tomodensitométrie, Ventilation à pression positive.
- MESH :
- imagerie diagnostique : Poumon.
- sang : Dioxyde de carbone, Oxygène.
- traitement médicamenteux : Complications parasitaires de la grossesse, Paludisme à Plasmodium falciparum.
- usage thérapeutique : Chloroquine, Pyriméthamine, Quinine.
- étiologie : Syndrome de détresse respiratoire de l'adulte.
- Adulte, Association de médicaments, Césarienne, Femelle, Grossesse, Humains, Maladie aigüe, Oxygénation extracorporelle sur oxygénateur à membrane, Paludisme à Plasmodium falciparum, Syndrome de détresse respiratoire de l'adulte, Tomodensitométrie, Ventilation à pression positive.
English descriptors
- KwdEn :
- Acute Disease, Adult, Carbon Dioxide (blood), Cesarean Section, Chloroquine (therapeutic use), Drug Therapy, Combination, Extracorporeal Membrane Oxygenation, Female, Humans, Lung (diagnostic imaging), Malaria, Falciparum (complications), Malaria, Falciparum (drug therapy), Oxygen (blood), Positive-Pressure Respiration, Pregnancy, Pregnancy Complications, Parasitic (drug therapy), Pyrimethamine (therapeutic use), Quinine (therapeutic use), Respiratory Distress Syndrome, Adult (etiology), Respiratory Distress Syndrome, Adult (therapy), Tomography, X-Ray Computed.
- MESH :
- chemical , blood : Carbon Dioxide, Oxygen.
- chemical , therapeutic use : Chloroquine, Pyrimethamine, Quinine.
- complications : Malaria, Falciparum.
- diagnostic imaging : Lung.
- drug therapy : Malaria, Falciparum, Pregnancy Complications, Parasitic.
- etiology : Respiratory Distress Syndrome, Adult.
- therapy : Respiratory Distress Syndrome, Adult.
- Acute Disease, Adult, Cesarean Section, Drug Therapy, Combination, Extracorporeal Membrane Oxygenation, Female, Humans, Positive-Pressure Respiration, Pregnancy, Tomography, X-Ray Computed.
Abstract
A 32-year-old woman in the 26th week of pregnancy became ill, 6 days after returning from a trip to Indonesia, with a fever up to 42 degrees C, haemolytic anaemia (haemoglobin 7.6 g/dl) and thrombocytopenia (7,000/microliters). She had not been on any malaria prophylaxis. Chloroquine, quinine and pyrimethamine, administered after macrogametocytes of Plasmodium falciparum had been found in the blood smear, eliminated the parasites from the peripheral blood, but respiratory failure and treatment-resistant pneumonia occurred, leading to the adult respiratory distress syndrome (Morel stage 4). Because of threatened intrauterine death (resulting from premature placental separation during artificial ventilation) the child was delivered by an emergency section. Despite extensive conventional therapeutic measures the mother's respiratory state progressively deteriorated so that extracorporeal membrane CO2 elimination was instituted on the 17th day. First signs of improvement in respiratory functions were noted after six days. The extracorporeal CO2 elimination was discontinued after twelve days, because artificial ventilation could now be adequately controlled. The woman was gradually weaned from the ventilator and discharged home without symptoms after a total of 11 weeks in hospital. Her child has not shown any neurological symptoms.
DOI: 10.1055/s-2008-1059426
PubMed: 8330507
Affiliations:
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Le document en format XML
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Successful treatment using extracorporeal CO2 elimination].</title><author><name sortKey="Neurath, M" sort="Neurath, M" uniqKey="Neurath M" first="M" last="Neurath">M. Neurath</name><affiliation><nlm:affiliation>I. Medizinische Klinik und Poliklinik, Universität Mainz.</nlm:affiliation><wicri:noCountry code="subField">Universität Mainz</wicri:noCountry></affiliation></author><author><name sortKey="Benzing, A" sort="Benzing, A" uniqKey="Benzing A" first="A" last="Benzing">A. Benzing</name></author><author><name sortKey="Knolle, P" sort="Knolle, P" uniqKey="Knolle P" first="P" last="Knolle">P. Knolle</name></author><author><name sortKey="Grundmann, H" sort="Grundmann, H" uniqKey="Grundmann H" first="H" last="Grundmann">H. Grundmann</name></author><author><name sortKey="Dippold, W" sort="Dippold, W" uniqKey="Dippold W" first="W" last="Dippold">W. Dippold</name></author><author><name sortKey="Meyer Zum Buschenfelde, K H" sort="Meyer Zum Buschenfelde, K H" uniqKey="Meyer Zum Buschenfelde K" first="K H" last="Meyer Zum Büschenfelde">K H Meyer Zum Büschenfelde</name></author></analytic><series><title level="j">Deutsche medizinische Wochenschrift (1946)</title><idno type="ISSN">0012-0472</idno><imprint><date when="1993" type="published">1993</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute Disease</term><term>Adult</term><term>Carbon Dioxide (blood)</term><term>Cesarean Section</term><term>Chloroquine (therapeutic use)</term><term>Drug Therapy, Combination</term><term>Extracorporeal Membrane Oxygenation</term><term>Female</term><term>Humans</term><term>Lung (diagnostic imaging)</term><term>Malaria, Falciparum (complications)</term><term>Malaria, Falciparum (drug therapy)</term><term>Oxygen (blood)</term><term>Positive-Pressure Respiration</term><term>Pregnancy</term><term>Pregnancy Complications, Parasitic (drug therapy)</term><term>Pyrimethamine (therapeutic use)</term><term>Quinine (therapeutic use)</term><term>Respiratory Distress Syndrome, Adult (etiology)</term><term>Respiratory Distress Syndrome, Adult (therapy)</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Association de médicaments</term><term>Chloroquine (usage thérapeutique)</term><term>Complications parasitaires de la grossesse (traitement médicamenteux)</term><term>Césarienne</term><term>Dioxyde de carbone (sang)</term><term>Femelle</term><term>Grossesse</term><term>Humains</term><term>Maladie aigüe</term><term>Oxygène (sang)</term><term>Oxygénation extracorporelle sur oxygénateur à membrane</term><term>Paludisme à Plasmodium falciparum ()</term><term>Paludisme à Plasmodium falciparum (traitement médicamenteux)</term><term>Poumon (imagerie diagnostique)</term><term>Pyriméthamine (usage thérapeutique)</term><term>Quinine (usage thérapeutique)</term><term>Syndrome de détresse respiratoire de l'adulte ()</term><term>Syndrome de détresse respiratoire de l'adulte (étiologie)</term><term>Tomodensitométrie</term><term>Ventilation à pression positive</term></keywords><keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Carbon Dioxide</term><term>Oxygen</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Chloroquine</term><term>Pyrimethamine</term><term>Quinine</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Malaria, Falciparum</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lung</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Malaria, Falciparum</term><term>Pregnancy Complications, Parasitic</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Respiratory Distress Syndrome, Adult</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Poumon</term></keywords><keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Dioxyde de carbone</term><term>Oxygène</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Respiratory Distress Syndrome, Adult</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Complications parasitaires de la grossesse</term><term>Paludisme à Plasmodium falciparum</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Chloroquine</term><term>Pyriméthamine</term><term>Quinine</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Syndrome de détresse respiratoire de l'adulte</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Acute Disease</term><term>Adult</term><term>Cesarean Section</term><term>Drug Therapy, Combination</term><term>Extracorporeal Membrane Oxygenation</term><term>Female</term><term>Humans</term><term>Positive-Pressure Respiration</term><term>Pregnancy</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Association de médicaments</term><term>Césarienne</term><term>Femelle</term><term>Grossesse</term><term>Humains</term><term>Maladie aigüe</term><term>Oxygénation extracorporelle sur oxygénateur à membrane</term><term>Paludisme à Plasmodium falciparum</term><term>Syndrome de détresse respiratoire de l'adulte</term><term>Tomodensitométrie</term><term>Ventilation à pression positive</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A 32-year-old woman in the 26th week of pregnancy became ill, 6 days after returning from a trip to Indonesia, with a fever up to 42 degrees C, haemolytic anaemia (haemoglobin 7.6 g/dl) and thrombocytopenia (7,000/microliters). She had not been on any malaria prophylaxis. Chloroquine, quinine and pyrimethamine, administered after macrogametocytes of Plasmodium falciparum had been found in the blood smear, eliminated the parasites from the peripheral blood, but respiratory failure and treatment-resistant pneumonia occurred, leading to the adult respiratory distress syndrome (Morel stage 4). Because of threatened intrauterine death (resulting from premature placental separation during artificial ventilation) the child was delivered by an emergency section. Despite extensive conventional therapeutic measures the mother's respiratory state progressively deteriorated so that extracorporeal membrane CO2 elimination was instituted on the 17th day. First signs of improvement in respiratory functions were noted after six days. The extracorporeal CO2 elimination was discontinued after twelve days, because artificial ventilation could now be adequately controlled. The woman was gradually weaned from the ventilator and discharged home without symptoms after a total of 11 weeks in hospital. Her child has not shown any neurological symptoms.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Benzing, A" sort="Benzing, A" uniqKey="Benzing A" first="A" last="Benzing">A. Benzing</name><name sortKey="Dippold, W" sort="Dippold, W" uniqKey="Dippold W" first="W" last="Dippold">W. Dippold</name><name sortKey="Grundmann, H" sort="Grundmann, H" uniqKey="Grundmann H" first="H" last="Grundmann">H. Grundmann</name><name sortKey="Knolle, P" sort="Knolle, P" uniqKey="Knolle P" first="P" last="Knolle">P. Knolle</name><name sortKey="Meyer Zum Buschenfelde, K H" sort="Meyer Zum Buschenfelde, K H" uniqKey="Meyer Zum Buschenfelde K" first="K H" last="Meyer Zum Büschenfelde">K H Meyer Zum Büschenfelde</name><name sortKey="Neurath, M" sort="Neurath, M" uniqKey="Neurath M" first="M" last="Neurath">M. Neurath</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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