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Perfusion, Vol. 21, No. 2, 121-125 (2006)
DOI: 10.1191/0267659106pf850oa

The use of extracorporeal life support in the treatment of influenza-associated myositis/rhabdomyolysis

Simon L Augustin

Cardiac Surgical Unit, Royal Children’s Hospital, Victoria, Australia

Stephen Horton

Cardiac Surgical Unit, Royal Children’s Hospital, Victoria, Australia, University of Melbourne, Melbourne, Australia

Clarke Thuys

Cardiac Surgical Unit, Royal Children’s Hospital, Victoria, Australia

Martin Bennett

Cardiac Surgical Unit, Royal Children’s Hospital, Victoria, Australia

Catie Claessen

Cardiac Surgical Unit, Royal Children’s Hospital, Victoria, Australia

Christian Brizard

Cardiac Surgical Unit, Royal Children’s Hospital, Victoria, Australia, University of Melbourne, Melbourne, Australia

A 13-year-old girl presented to the emergency department with fatigue, headaches and muscle stiffness after returning from a family camping trip. Within 24 h, she was transferred to ICU with general oedema and low saturations, where she had a cardio-respiratory arrest and was placed on veno-arterial extracorporeal membrane oxygenation (ECMO). The patient was successfully supported with ECMO for profound myocardial dysfunction and haemofiltration for rhabdomyolysis and acute renal failure.

Patients who present with profound myocardial dysfunction and myoglobinuria as a consequence of viral infection can be successfully supported with ECMO.


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