Extracorporeal Membrane Oxygenation in Miliary Tuberculosis and AIDS: A Case Report

Abstract

Background The aim of this study is to present the success of a multidisciplinary approach in a patient with a rare triad of disease.

Case Description A 33-year-old patient with newly diagnosed human immunodeficiency virus infection presented with miliary tuberculosis, consecutive adult respiratory distress syndrome, and multiple-organ failure. An interdisciplinary, time-limited approach combining extracorporeal membrane oxygenation, intensive care therapy, hemodiafiltration, tuberculostatic therapy, steroids, and antiretroviral therapy led to survival despite a low probability at presentation.

Conclusion Even though the use of such extensive and expensive treatment can be questioned, this example encourages an aggressive approach in a young patient, even in situations of multiple diagnosis of individually limited prognosis.

Keywords

adult respiratory distress syndrome - human immunodeficiency virus - miliary tuberculosis - extracorporeal membrane oxygenation

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