All that glitters is not gold: an unusual presentation of S. aureus sepsis during ECMO

A 53-year-old male was submitted to veno-venous extracorporeal membrane oxygenation (ECMO) due to coronavirus disease 2019 (COVID-19) pneumonia for 84 days, without relevant complications related to the circuit itself until an urgent return cannula change was needed due to the rigid connector fractu...

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Bibliographic Details
Published in:Intensive care medicine 2021-06, Vol.47 (6), p.701-701
Main Authors: Pellegrini, José Augusto Santos, Schwarz, Patrícia, Parolo, Édino, Cremonese, Ricardo Viegas
Format: Article
Language:English
Subjects:
Anesthesiology
Antibiotics
Case reports
Catheters
COVID-19
Critical Care Medicine
Emergency Medicine
Extracorporeal membrane oxygenation
Imaging in Intensive Care Medicine
Intensive
Intensive care
Medical diagnosis
Medicine
Medicine & Public Health
Methicillin
Nosocomial infections
Oxygenation
Pain Medicine
Pediatrics
Penicillin
Pneumology/Respiratory System
Pneumonia
Sepsis
Severe acute respiratory syndrome coronavirus 2
Staphylococcus aureus
Staphylococcus infections
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Summary:A 53-year-old male was submitted to veno-venous extracorporeal membrane oxygenation (ECMO) due to coronavirus disease 2019 (COVID-19) pneumonia for 84 days, without relevant complications related to the circuit itself until an urgent return cannula change was needed due to the rigid connector fracture with major bleeding. The cannula was promptly switched from the right to the left internal jugular vein. Two days after, the patient presented clinical and biochemical features of sepsis. Vancomycin was started and posteriorly switched to oxacillin, since blood cultures were positive for methicillin-sensitive Staphylococcus aureus
ISSN:0342-4642
1432-1238
DOI:10.1007/s00134-021-06366-6