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Case Report

Extracorporeal Membrane Oxygenation for Secondary Organizing Pneumonia after Severe SARS-CoV-2 Infection: A Case Report

1
Department of Medicine, Division of Respiratory Medicine and Allergology, Showa University School of Medicine, Tokyo 142-0064, Japan
2
Department of Intensive Care Medicine, Showa University School of Medicine, Tokyo 142-0064, Japan
*
Author to whom correspondence should be addressed.
Academic Editor: Win Sen Kuan
Medicina 2021, 57(10), 1013; https://doi.org/10.3390/medicina57101013
Received: 7 August 2021 / Revised: 14 September 2021 / Accepted: 19 September 2021 / Published: 25 September 2021
(Background) COVID-19 is caused by SARS-CoV-2 infection and may result in unfavorable outcomes. A recent large-scale study showed that treatment with dexamethasone leads to favorable outcomes in patients with severe COVID-19, and the use of extracorporeal membrane oxygenation (ECMO) has also been shown to improve outcomes. Recently, secondary organizing pneumonia (SOP) has been reported after SARS-CoV-2 infection, but the diagnostic and treatment strategies are still unclear. (Case presentation) Here, we report a patient with severe COVID-19 who developed SOP even after the use of dexamethasone, for whom the introduction of ECMO on the 19th day after hospitalization led to a favorable outcome. (Conclusions) Life-threatening SOP may evolve even after the use of dexamethasone, and the late-phase introduction of ECMO may save such patients with COVID-19. View Full-Text
Keywords: SARS-CoV-2; COVID-19; organizing pneumonia; ECMO; dexamethasone SARS-CoV-2; COVID-19; organizing pneumonia; ECMO; dexamethasone
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MDPI and ACS Style

Kimura, T.; Onitsuka, C.; Kawahara, T.; Fukuda, Y.; Homma, T.; Watanabe, T.; Ohsugi, K.; Ichikawa, Y.; Shono, A.; Kotani, T.; Sagara, H. Extracorporeal Membrane Oxygenation for Secondary Organizing Pneumonia after Severe SARS-CoV-2 Infection: A Case Report. Medicina 2021, 57, 1013. https://doi.org/10.3390/medicina57101013

AMA Style

Kimura T, Onitsuka C, Kawahara T, Fukuda Y, Homma T, Watanabe T, Ohsugi K, Ichikawa Y, Shono A, Kotani T, Sagara H. Extracorporeal Membrane Oxygenation for Secondary Organizing Pneumonia after Severe SARS-CoV-2 Infection: A Case Report. Medicina. 2021; 57(10):1013. https://doi.org/10.3390/medicina57101013

Chicago/Turabian Style

Kimura, Tomoyuki, Chisato Onitsuka, Tomoko Kawahara, Yosuke Fukuda, Tetsuya Homma, Taro Watanabe, Koichi Ohsugi, Yuki Ichikawa, Atsuko Shono, Toru Kotani, and Hironori Sagara. 2021. "Extracorporeal Membrane Oxygenation for Secondary Organizing Pneumonia after Severe SARS-CoV-2 Infection: A Case Report" Medicina 57, no. 10: 1013. https://doi.org/10.3390/medicina57101013

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