@Article{crph890,
AUTHOR = {Masuoka, Ayumu and Seki, Masafumi and Kotajima, Futoshi and Tsuchiya, Ryosuke and Ogawa, Hiroshi and Inoue, Yoshitaka and Nemoto, Manabu and Kaji, Masahito},
TITLE = {A Case of Early Initiation of Veno-venous Extracorporeal Membrane Oxygen in Morbid Obesity with Severe Legionella Pneumonia},
JOURNAL = {Current Research in Public Health},
VOLUME = {4},
YEAR = {2024},
NUMBER = {1},
PAGES = {9-13},
URL = {https://www.scipublications.com/journal/index.php/GJMCR/article/view/890},
ISSN = {2831-5162},
DOI = {10.31586/gjmcr.2024.890},
ABSTRACT = {We present a case of a critically ill patient with severe Legionella pneumonia complicated by morbid obesity (BMI ≥ 40 kg/m2) who was successfully treated with early initiation of veno-venous ECMO (V-V-ECMO) without any sequelae. The patient, a 48-year-old male, initially presented with symptoms of a sore throat, fever, significant fatigue, and decreased appetite. Upon diagnosis of severe pneumonia complicated by morbid obesity, he was transferred to our hospital for further management. Upon admission, he was promptly intubated and placed on mechanical ventilation. Due to a positive urinary Legionella antigen test indicating a risk of deterioration, V-V ECMO was initiated immediately after intubation. During ECMO support, the patient received Levofloxacin Hydrate at 500 mg/day and Prednisolone Sodium Succinate at 100 mg/day. He was successfully weaned off ECMO after 12 days and transferred back to the referring hospital on day 20. While ECMO therapy for morbidly obese patients was traditionally considered relatively contraindicated, this case suggest that obesity alone is not a contraindication to initiating ECMO.},
}

%0 Journal Article
%A Masuoka, Ayumu
%A Seki, Masafumi
%A Kotajima, Futoshi
%A Tsuchiya, Ryosuke
%A Ogawa, Hiroshi
%A Inoue, Yoshitaka
%A Nemoto, Manabu
%A Kaji, Masahito
%D 2024
%J Current Research in Public Health

%@ 2831-5162
%V 4
%N 1
%P 9-13

%T A Case of Early Initiation of Veno-venous Extracorporeal Membrane Oxygen in Morbid Obesity with Severe Legionella Pneumonia
%M doi:10.31586/gjmcr.2024.890
%U https://www.scipublications.com/journal/index.php/GJMCR/article/view/890

TY  - JOUR
AU  - Masuoka, Ayumu
AU  - Seki, Masafumi
AU  - Kotajima, Futoshi
AU  - Tsuchiya, Ryosuke
AU  - Ogawa, Hiroshi
AU  - Inoue, Yoshitaka
AU  - Nemoto, Manabu
AU  - Kaji, Masahito
TI  - A Case of Early Initiation of Veno-venous Extracorporeal Membrane Oxygen in Morbid Obesity with Severe Legionella Pneumonia
T2  - Current Research in Public Health
PY  - 2024
VL  - 4
IS  - 1
SN  - 2831-5162
SP  - 9
EP  - 13
UR  - https://www.scipublications.com/journal/index.php/GJMCR/article/view/890
AB  - We present a case of a critically ill patient with severe Legionella pneumonia complicated by morbid obesity (BMI ≥ 40 kg/m2) who was successfully treated with early initiation of veno-venous ECMO (V-V-ECMO) without any sequelae. The patient, a 48-year-old male, initially presented with symptoms of a sore throat, fever, significant fatigue, and decreased appetite. Upon diagnosis of severe pneumonia complicated by morbid obesity, he was transferred to our hospital for further management. Upon admission, he was promptly intubated and placed on mechanical ventilation. Due to a positive urinary Legionella antigen test indicating a risk of deterioration, V-V ECMO was initiated immediately after intubation. During ECMO support, the patient received Levofloxacin Hydrate at 500 mg/day and Prednisolone Sodium Succinate at 100 mg/day. He was successfully weaned off ECMO after 12 days and transferred back to the referring hospital on day 20. While ECMO therapy for morbidly obese patients was traditionally considered relatively contraindicated, this case suggest that obesity alone is not a contraindication to initiating ECMO.
DO  - A Case of Early Initiation of Veno-venous Extracorporeal Membrane Oxygen in Morbid Obesity with Severe Legionella Pneumonia
TI  - 10.31586/gjmcr.2024.890
ER  -