A Fulminant Case of Acute Respiratory Distress Syndrome Associated with Mycoplasma Pneumonia Treated with Nasal High-Flow Oxygen Therapy
Introduction. The prognosis of mycoplasma pneumonia in adults is generally favorable, but a few patients show progression to acute respiratory distress syndrome (ARDS). We have described the management of a patient who showed progression of mycoplasma pneumonia to ARDS. Presentation of Case. A 26-ye...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
|
| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2018/1067593 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850211071653052416 |
|---|---|
| author | Naoki Kawakami Ho Namkoong Takanori Ohata Shinji Sakaguchi Fumitake Saito Hideki Yuki |
| author_facet | Naoki Kawakami Ho Namkoong Takanori Ohata Shinji Sakaguchi Fumitake Saito Hideki Yuki |
| author_sort | Naoki Kawakami |
| collection | DOAJ |
| description | Introduction. The prognosis of mycoplasma pneumonia in adults is generally favorable, but a few patients show progression to acute respiratory distress syndrome (ARDS). We have described the management of a patient who showed progression of mycoplasma pneumonia to ARDS. Presentation of Case. A 26-year-old male patient with no significant past medical or social history presented with a 5-day history of fever. Following this, he was diagnosed with bacterial pneumonia and treated with tazobactam/piperacillin; however, he showed little clinical improvement with this treatment approach. We diagnosed the patient with mycoplasma pneumonia with an antigen test and treated him with azithromycin and prednisolone. Despite the appropriate antimicrobial therapy, his symptoms worsened and therefore we changed his oxygen therapy from a reservoir mask to nasal high-flow oxygen in addition to minocycline. Consequently, with this treatment, he recovered from severe mycoplasma pneumonia. Discussion. In patients with severe pneumonia who experience respiratory failure, it has been reported that nasal high-flow oxygen therapy is not inferior to noninvasive positive pressure ventilation therapy regarding intubation rate. In this case, induction of nasal high-flow oxygen therapy led to avoidance of ventilator management. This is a valuable case report highlighting the optimal outcome of nasal high-flow oxygen therapy in a fulminant case of acute respiratory distress syndrome. Conclusion. In patients who present with severe mycoplasma pneumonia with respiratory failure, nasal high-flow oxygen therapy can help reduce the needs for ventilator management including intubation. |
| format | Article |
| id | doaj-art-8d80bb1df90f4efd9aa478e75ef5da64 |
| institution | OA Journals |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-8d80bb1df90f4efd9aa478e75ef5da642025-08-20T02:09:38ZengWileyCase Reports in Critical Care2090-64202090-64392018-01-01201810.1155/2018/10675931067593A Fulminant Case of Acute Respiratory Distress Syndrome Associated with Mycoplasma Pneumonia Treated with Nasal High-Flow Oxygen TherapyNaoki Kawakami0Ho Namkoong1Takanori Ohata2Shinji Sakaguchi3Fumitake Saito4Hideki Yuki5Department of Emergency and Critical Care Medicine, St. Luke’s International Hospital, 9-1 Akashicho, Chuo-ku, Tokyo 104-8560, JapanDepartment of Pulmonary Medicine, Eiju General Hospital, 2-23-16 Higashiueno, Taito-ku, Tokyo 110-8645, JapanDepartment of Pulmonary Medicine, Eiju General Hospital, 2-23-16 Higashiueno, Taito-ku, Tokyo 110-8645, JapanDepartment of Pulmonary Medicine, Eiju General Hospital, 2-23-16 Higashiueno, Taito-ku, Tokyo 110-8645, JapanDepartment of Pulmonary Medicine, Eiju General Hospital, 2-23-16 Higashiueno, Taito-ku, Tokyo 110-8645, JapanDepartment of Pulmonary Medicine, Eiju General Hospital, 2-23-16 Higashiueno, Taito-ku, Tokyo 110-8645, JapanIntroduction. The prognosis of mycoplasma pneumonia in adults is generally favorable, but a few patients show progression to acute respiratory distress syndrome (ARDS). We have described the management of a patient who showed progression of mycoplasma pneumonia to ARDS. Presentation of Case. A 26-year-old male patient with no significant past medical or social history presented with a 5-day history of fever. Following this, he was diagnosed with bacterial pneumonia and treated with tazobactam/piperacillin; however, he showed little clinical improvement with this treatment approach. We diagnosed the patient with mycoplasma pneumonia with an antigen test and treated him with azithromycin and prednisolone. Despite the appropriate antimicrobial therapy, his symptoms worsened and therefore we changed his oxygen therapy from a reservoir mask to nasal high-flow oxygen in addition to minocycline. Consequently, with this treatment, he recovered from severe mycoplasma pneumonia. Discussion. In patients with severe pneumonia who experience respiratory failure, it has been reported that nasal high-flow oxygen therapy is not inferior to noninvasive positive pressure ventilation therapy regarding intubation rate. In this case, induction of nasal high-flow oxygen therapy led to avoidance of ventilator management. This is a valuable case report highlighting the optimal outcome of nasal high-flow oxygen therapy in a fulminant case of acute respiratory distress syndrome. Conclusion. In patients who present with severe mycoplasma pneumonia with respiratory failure, nasal high-flow oxygen therapy can help reduce the needs for ventilator management including intubation.http://dx.doi.org/10.1155/2018/1067593 |
| spellingShingle | Naoki Kawakami Ho Namkoong Takanori Ohata Shinji Sakaguchi Fumitake Saito Hideki Yuki A Fulminant Case of Acute Respiratory Distress Syndrome Associated with Mycoplasma Pneumonia Treated with Nasal High-Flow Oxygen Therapy Case Reports in Critical Care |
| title | A Fulminant Case of Acute Respiratory Distress Syndrome Associated with Mycoplasma Pneumonia Treated with Nasal High-Flow Oxygen Therapy |
| title_full | A Fulminant Case of Acute Respiratory Distress Syndrome Associated with Mycoplasma Pneumonia Treated with Nasal High-Flow Oxygen Therapy |
| title_fullStr | A Fulminant Case of Acute Respiratory Distress Syndrome Associated with Mycoplasma Pneumonia Treated with Nasal High-Flow Oxygen Therapy |
| title_full_unstemmed | A Fulminant Case of Acute Respiratory Distress Syndrome Associated with Mycoplasma Pneumonia Treated with Nasal High-Flow Oxygen Therapy |
| title_short | A Fulminant Case of Acute Respiratory Distress Syndrome Associated with Mycoplasma Pneumonia Treated with Nasal High-Flow Oxygen Therapy |
| title_sort | fulminant case of acute respiratory distress syndrome associated with mycoplasma pneumonia treated with nasal high flow oxygen therapy |
| url | http://dx.doi.org/10.1155/2018/1067593 |
| work_keys_str_mv | AT naokikawakami afulminantcaseofacuterespiratorydistresssyndromeassociatedwithmycoplasmapneumoniatreatedwithnasalhighflowoxygentherapy AT honamkoong afulminantcaseofacuterespiratorydistresssyndromeassociatedwithmycoplasmapneumoniatreatedwithnasalhighflowoxygentherapy AT takanoriohata afulminantcaseofacuterespiratorydistresssyndromeassociatedwithmycoplasmapneumoniatreatedwithnasalhighflowoxygentherapy AT shinjisakaguchi afulminantcaseofacuterespiratorydistresssyndromeassociatedwithmycoplasmapneumoniatreatedwithnasalhighflowoxygentherapy AT fumitakesaito afulminantcaseofacuterespiratorydistresssyndromeassociatedwithmycoplasmapneumoniatreatedwithnasalhighflowoxygentherapy AT hidekiyuki afulminantcaseofacuterespiratorydistresssyndromeassociatedwithmycoplasmapneumoniatreatedwithnasalhighflowoxygentherapy AT naokikawakami fulminantcaseofacuterespiratorydistresssyndromeassociatedwithmycoplasmapneumoniatreatedwithnasalhighflowoxygentherapy AT honamkoong fulminantcaseofacuterespiratorydistresssyndromeassociatedwithmycoplasmapneumoniatreatedwithnasalhighflowoxygentherapy AT takanoriohata fulminantcaseofacuterespiratorydistresssyndromeassociatedwithmycoplasmapneumoniatreatedwithnasalhighflowoxygentherapy AT shinjisakaguchi fulminantcaseofacuterespiratorydistresssyndromeassociatedwithmycoplasmapneumoniatreatedwithnasalhighflowoxygentherapy AT fumitakesaito fulminantcaseofacuterespiratorydistresssyndromeassociatedwithmycoplasmapneumoniatreatedwithnasalhighflowoxygentherapy AT hidekiyuki fulminantcaseofacuterespiratorydistresssyndromeassociatedwithmycoplasmapneumoniatreatedwithnasalhighflowoxygentherapy |