SESSION TITLE: Fellow Case Report Slide: Chest Infections III
SESSION TYPE: Affiliate Case Report Slide
PRESENTED ON: Tuesday, October 25, 2016 at 04:30 PM - 05:30 PM
INTRODUCTION: Although Human Metapneumovirus (hMPV) is primarily known to cause respiratory tract infections in children, it can rarely result in a severe respiratory illness in adults.
CASE PRESENTATION: A 33 year old male with past medical history of Down syndrome and asthma, presented to our facility with acute shortness of breath. Radiography revealed bilateral infiltrates and laboratory data was significant for leukocytosis, acute kidney injury and an elevated alveolar-arterial gradient.The patient required intubation for acute respiratory failure, but remained hypoxic necessitating initiation of a V-V ECMO. Bronchoscopy with bronchoalveolar lavage was performed. Bacterial,mycobacterial and fungal cultures were negative except viral cultures being positive for metapneumovirus.He was maintained on ECMO and ventilator support until his oxygen requirements gradually improved. He eventually had a tracheostomy and was discharged to a long term acute care facility after two month of hospital stay.