Acute Chest Syndrome Progressing to ARDS in a Patient of 25-Week Gestation
Acute chest syndrome is a complication of sickle cell disease and represents the highest cause of mortality in those afflicted with the disorder. Pregnancy represents an increased risk for complications of sickle cell disease in both the mother and fetus. We present a case of a 20-year-old patient w...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2018/4243569 |
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| _version_ | 1832562984545681408 |
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| author | Jefferson Chambers Nichole Smith Matthew Sehring Subramanyam Chittivelu |
| author_facet | Jefferson Chambers Nichole Smith Matthew Sehring Subramanyam Chittivelu |
| author_sort | Jefferson Chambers |
| collection | DOAJ |
| description | Acute chest syndrome is a complication of sickle cell disease and represents the highest cause of mortality in those afflicted with the disorder. Pregnancy represents an increased risk for complications of sickle cell disease in both the mother and fetus. We present a case of a 20-year-old patient with known sickle cell disease who was at 25-week gestation and developed acute chest syndrome refractory to conventional therapies and requiring emergency cesarean section. Following delivery, the patient developed acute respiratory distress syndrome (ARDS) requiring extracorporeal membrane oxygenation (ECMO). The patient and infant eventually made full recoveries. This case highlights the importance of aggressive management of ACS and careful monitoring in a pregnant patient. |
| format | Article |
| id | doaj-art-e739ca00752d4b5fb1fcce96069ae8ae |
| institution | Kabale University |
| 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-e739ca00752d4b5fb1fcce96069ae8ae2025-02-03T01:21:18ZengWileyCase Reports in Critical Care2090-64202090-64392018-01-01201810.1155/2018/42435694243569Acute Chest Syndrome Progressing to ARDS in a Patient of 25-Week GestationJefferson Chambers0Nichole Smith1Matthew Sehring2Subramanyam Chittivelu3University of Illinois College of Medicine at Peoria, Peoria, IL, USAUniversity of Illinois College of Medicine at Peoria, Peoria, IL, USAUniversity of Illinois College of Medicine at Peoria, Peoria, IL, USAUniversity of Illinois College of Medicine at Peoria, Peoria, IL, USAAcute chest syndrome is a complication of sickle cell disease and represents the highest cause of mortality in those afflicted with the disorder. Pregnancy represents an increased risk for complications of sickle cell disease in both the mother and fetus. We present a case of a 20-year-old patient with known sickle cell disease who was at 25-week gestation and developed acute chest syndrome refractory to conventional therapies and requiring emergency cesarean section. Following delivery, the patient developed acute respiratory distress syndrome (ARDS) requiring extracorporeal membrane oxygenation (ECMO). The patient and infant eventually made full recoveries. This case highlights the importance of aggressive management of ACS and careful monitoring in a pregnant patient.http://dx.doi.org/10.1155/2018/4243569 |
| spellingShingle | Jefferson Chambers Nichole Smith Matthew Sehring Subramanyam Chittivelu Acute Chest Syndrome Progressing to ARDS in a Patient of 25-Week Gestation Case Reports in Critical Care |
| title | Acute Chest Syndrome Progressing to ARDS in a Patient of 25-Week Gestation |
| title_full | Acute Chest Syndrome Progressing to ARDS in a Patient of 25-Week Gestation |
| title_fullStr | Acute Chest Syndrome Progressing to ARDS in a Patient of 25-Week Gestation |
| title_full_unstemmed | Acute Chest Syndrome Progressing to ARDS in a Patient of 25-Week Gestation |
| title_short | Acute Chest Syndrome Progressing to ARDS in a Patient of 25-Week Gestation |
| title_sort | acute chest syndrome progressing to ards in a patient of 25 week gestation |
| url | http://dx.doi.org/10.1155/2018/4243569 |
| work_keys_str_mv | AT jeffersonchambers acutechestsyndromeprogressingtoardsinapatientof25weekgestation AT nicholesmith acutechestsyndromeprogressingtoardsinapatientof25weekgestation AT matthewsehring acutechestsyndromeprogressingtoardsinapatientof25weekgestation AT subramanyamchittivelu acutechestsyndromeprogressingtoardsinapatientof25weekgestation |