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Streptococcus pyogenes purpura fulminans and septic shock: A case highlighting the ethical considerations of high-risk extracorporeal membrane oxygenation.

Authors
  • Wheaton, Taylor1
  • Menkiti, Ogechukwu2
  • Misra, Amit1
  • 1 Division of Critical Care Medicine, St. Christopher's Hospital for Children, Philadelphia, PA, USA.
  • 2 Division of Neonatology, St. Christopher's Hospital for Children, Philadelphia, PA, USA.
Type
Published Article
Journal
The International Journal of Artificial Organs
Publisher
SAGE Publications
Publication Date
Jul 01, 2020
Volume
43
Issue
7
Pages
500–502
Identifiers
DOI: 10.1177/0391398820901832
PMID: 31984828
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Separately, refractory septic shock and purpura fulminans have very poor outcomes. The ethics involved in offering extracorporeal membrane oxygenation to very high-risk patients is complex. We report a novel case of refractory shock requiring veno-arterial extracorporeal membrane oxygenation and continuous renal replacement therapy due to Streptococcus pyogenes bacteremia with purpura fulminans to highlight the ethical challenges in offering extracorporeal membrane oxygenation to a patient with such a poor likelihood of survival.

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