Imperial College London
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DrBrijeshPatel

Faculty of Medicine, Department of Surgery & Cancer

Clinical Senior Lecturer in Cardiothoracic
 
 
 
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Contact

 

+44 (0)20 3315 8897brijesh.patel Website

 
 
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Location

 

Adult Intensive Care UnitSydney StreetRoyal Brompton Campus

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Summary

 

Publications

Citation

BibTex format

@article{Lee:2017:10.1136/bcr-2017-221214,
author = {Lee, N and Lawrence, D and Patel, B and Ledot, S},
doi = {10.1136/bcr-2017-221214},
journal = {BMJ Case Rep},
title = {HIV-related Pneumocystis jirovecii pneumonia managed with caspofungin and veno-venous extracorporeal membrane oxygenation rescue therapy.},
url = {http://dx.doi.org/10.1136/bcr-2017-221214},
volume = {2017},
year = {2017}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Patients with pneumocystis pneumonia have a risk of progressing to acute respiratory failure necessitating admission to intensive care. The case described is of a patient with a newly diagnosed HIV infection presenting with pneumocystis pneumonia. Despite initiating the appropriate pharmacological treatment the patient's clinical condition deteriorated, and required both rescue pharmacological therapy with echinocandins as well as respiratory support with extracorporeal membrane oxygenation therapy. The patient recovered well on ventilator and circulatory support despite a long weaning process complicated by sequelae common to pneumocystis pneumonia. Following initialisation of antiretroviral therapy and step-down from an intensive care setting, the patient required further prolonged hospital stay for rehabilitation and mental health support before being discharged. This case reviews the novel pharmacological therapies and respiratory support strategies used in cases of pneumocystis pneumonia, including the clinical and psychological sequelae that may follow.
AU  - Lee,N
AU  - Lawrence,D
AU  - Patel,B
AU  - Ledot,S
DO  - 10.1136/bcr-2017-221214
PY  - 2017///
TI  - HIV-related Pneumocystis jirovecii pneumonia managed with caspofungin and veno-venous extracorporeal membrane oxygenation rescue therapy.
T2  - BMJ Case Rep
UR  - http://dx.doi.org/10.1136/bcr-2017-221214
UR  - https://www.ncbi.nlm.nih.gov/pubmed/28978595
VL  - 2017
ER  -
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