Acute respiratory distress syndrome caused by carbon monoxide poisoning and inhalation injury recovered after extracorporeal membrane oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column: a case report

Abstract Background Inhalation injury from smoke or chemical products and carbon monoxide poisoning are major causes of death in burn patients from fire accidents. Respiratory tract injuries from inhalation injury and carbon monoxide poisoning can lead to acute respiratory distress syndrome and cyto...

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Main Authors: Ji Hoon Jang, Hang Jea Jang, Hyun-Kuk Kim, Jin Han Park, Hyo-Jung Kim, Kyeong Min Jo, Woon Heo, Se Hun Kim, Tae-Hoon No, Jae Ha Lee
Format: Article
Language:English
Published: BMC 2021-09-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s13256-021-03023-w
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author Ji Hoon Jang
Hang Jea Jang
Hyun-Kuk Kim
Jin Han Park
Hyo-Jung Kim
Kyeong Min Jo
Woon Heo
Se Hun Kim
Tae-Hoon No
Jae Ha Lee
author_facet Ji Hoon Jang
Hang Jea Jang
Hyun-Kuk Kim
Jin Han Park
Hyo-Jung Kim
Kyeong Min Jo
Woon Heo
Se Hun Kim
Tae-Hoon No
Jae Ha Lee
author_sort Ji Hoon Jang
collection DOAJ
description Abstract Background Inhalation injury from smoke or chemical products and carbon monoxide poisoning are major causes of death in burn patients from fire accidents. Respiratory tract injuries from inhalation injury and carbon monoxide poisoning can lead to acute respiratory distress syndrome and cytokine storm syndrome. In the case of acute respiratory failure needing mechanical ventilation accompanied by cytokine storm, mortality is high and immediate adequate treatment at the emergency department is very important. Case presentation This report describes a case of acute respiratory distress syndrome and cytokine storm followed by carbon monoxide poisoning in a 34-year-old Korean male patient who was in a house fire, and was successfully treated by extracorporeal membrane oxygenation and direct hemoperfusion with polymyxin B-immobilized fiber column at emergency department. Conclusions To prevent mortality in acute respiratory distress syndrome with cytokine storm from inhalation injury and to promote a better prognosis, we suggest that early implication of extracorporeal membranous oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column even at the emergency department should be considered.
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spelling doaj.art-29f04b8dfb0d4e1883becb5986f90d422022-12-21T22:02:01ZengBMCJournal of Medical Case Reports1752-19472021-09-011511510.1186/s13256-021-03023-wAcute respiratory distress syndrome caused by carbon monoxide poisoning and inhalation injury recovered after extracorporeal membrane oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column: a case reportJi Hoon Jang0Hang Jea Jang1Hyun-Kuk Kim2Jin Han Park3Hyo-Jung Kim4Kyeong Min Jo5Woon Heo6Se Hun Kim7Tae-Hoon No8Jae Ha Lee9Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of MedicineDepartment of Internal Medicine, Haeundae Paik Hospital, Inje University College of MedicineDepartment of Internal Medicine, Haeundae Paik Hospital, Inje University College of MedicineDepartment of Internal Medicine, Haeundae Paik Hospital, Inje University College of MedicineDepartment of Internal Medicine, Haeundae Paik Hospital, Inje University College of MedicineDepartment of Internal Medicine, Haeundae Paik Hospital, Inje University College of MedicineDepartment of Thoracic and Cardiovascular surgery, Haeundae Paik Hospital, Inje University College of MedicineDepartment of Anesthesiology and Pain medicine, Haeundae Paik Hospital, Inje University College of MedicineDepartment of Internal Medicine, Seoul ST. Mary’s Hospital, The Catholic University of KoreaDepartment of Internal Medicine, Haeundae Paik Hospital, Inje University College of MedicineAbstract Background Inhalation injury from smoke or chemical products and carbon monoxide poisoning are major causes of death in burn patients from fire accidents. Respiratory tract injuries from inhalation injury and carbon monoxide poisoning can lead to acute respiratory distress syndrome and cytokine storm syndrome. In the case of acute respiratory failure needing mechanical ventilation accompanied by cytokine storm, mortality is high and immediate adequate treatment at the emergency department is very important. Case presentation This report describes a case of acute respiratory distress syndrome and cytokine storm followed by carbon monoxide poisoning in a 34-year-old Korean male patient who was in a house fire, and was successfully treated by extracorporeal membrane oxygenation and direct hemoperfusion with polymyxin B-immobilized fiber column at emergency department. Conclusions To prevent mortality in acute respiratory distress syndrome with cytokine storm from inhalation injury and to promote a better prognosis, we suggest that early implication of extracorporeal membranous oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column even at the emergency department should be considered.https://doi.org/10.1186/s13256-021-03023-wCarbon monoxide poisoningSmoke inhalation injuryAcute respiratory distress syndrome
spellingShingle Ji Hoon Jang
Hang Jea Jang
Hyun-Kuk Kim
Jin Han Park
Hyo-Jung Kim
Kyeong Min Jo
Woon Heo
Se Hun Kim
Tae-Hoon No
Jae Ha Lee
Acute respiratory distress syndrome caused by carbon monoxide poisoning and inhalation injury recovered after extracorporeal membrane oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column: a case report
Journal of Medical Case Reports
Carbon monoxide poisoning
Smoke inhalation injury
Acute respiratory distress syndrome
title Acute respiratory distress syndrome caused by carbon monoxide poisoning and inhalation injury recovered after extracorporeal membrane oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column: a case report
title_full Acute respiratory distress syndrome caused by carbon monoxide poisoning and inhalation injury recovered after extracorporeal membrane oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column: a case report
title_fullStr Acute respiratory distress syndrome caused by carbon monoxide poisoning and inhalation injury recovered after extracorporeal membrane oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column: a case report
title_full_unstemmed Acute respiratory distress syndrome caused by carbon monoxide poisoning and inhalation injury recovered after extracorporeal membrane oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column: a case report
title_short Acute respiratory distress syndrome caused by carbon monoxide poisoning and inhalation injury recovered after extracorporeal membrane oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column: a case report
title_sort acute respiratory distress syndrome caused by carbon monoxide poisoning and inhalation injury recovered after extracorporeal membrane oxygenation along with direct hemoperfusion with polymyxin b immobilized fiber column a case report
topic Carbon monoxide poisoning
Smoke inhalation injury
Acute respiratory distress syndrome
url https://doi.org/10.1186/s13256-021-03023-w
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