Respiratory Failure Secondary to Human Metapneumovirus Requiring Extracorporeal Membrane Oxygenation in a 32-Month-Old Child

Human metapneumovirus (HMPV) is a common virus that can cause respiratory problems ranging from mild upper respiratory tract disease to respiratory failure requiring mechanical support. Here, we report a case of a 32-month-old male with a previous history of asthma, who developed respiratory failure...

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Main Authors: Abha Gupta, Melania Bembea, Anna Brown, Courtney Robertson, Lewis Romer, Ronald D. Cohn
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2012/268074
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author Abha Gupta
Melania Bembea
Anna Brown
Courtney Robertson
Lewis Romer
Ronald D. Cohn
author_facet Abha Gupta
Melania Bembea
Anna Brown
Courtney Robertson
Lewis Romer
Ronald D. Cohn
author_sort Abha Gupta
collection DOAJ
description Human metapneumovirus (HMPV) is a common virus that can cause respiratory problems ranging from mild upper respiratory tract disease to respiratory failure requiring mechanical support. Here, we report a case of a 32-month-old male with a previous history of asthma, who developed respiratory failure two weeks after onset of cough and rhinorrhea and required extracorporeal membrane oxygenation (ECMO) for 9 days after failing high-frequency oscillatory ventilation (HFOV). To our knowledge, this is the oldest reported pediatric patient with respiratory failure secondary to human metapneumovirus that did not respond to mechanical ventilation. This case highlights three critical points: the potentially fatal causative role of HMPV in respiratory failure in an older pediatric age group of immunocompetent hosts, the importance of early recognition of impending respiratory failure, and the timely utilization of ECMO.
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issn 2090-6803
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publishDate 2012-01-01
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series Case Reports in Pediatrics
spelling doaj-art-404ac7c99e5d4bf098daa43c72b3aa252025-02-03T05:55:17ZengWileyCase Reports in Pediatrics2090-68032090-68112012-01-01201210.1155/2012/268074268074Respiratory Failure Secondary to Human Metapneumovirus Requiring Extracorporeal Membrane Oxygenation in a 32-Month-Old ChildAbha Gupta0Melania Bembea1Anna Brown2Courtney Robertson3Lewis Romer4Ronald D. Cohn5Department of Pediatrics, Johns Hopkins Hospital, Baltimore, MD 21287, USADepartment of Pediatrics, Johns Hopkins Hospital, Baltimore, MD 21287, USADepartment of Pediatrics, Johns Hopkins Hospital, Baltimore, MD 21287, USADepartment of Pediatrics, Johns Hopkins Hospital, Baltimore, MD 21287, USADepartment of Pediatrics, Johns Hopkins Hospital, Baltimore, MD 21287, USADepartment of Pediatrics, Johns Hopkins Hospital, Baltimore, MD 21287, USAHuman metapneumovirus (HMPV) is a common virus that can cause respiratory problems ranging from mild upper respiratory tract disease to respiratory failure requiring mechanical support. Here, we report a case of a 32-month-old male with a previous history of asthma, who developed respiratory failure two weeks after onset of cough and rhinorrhea and required extracorporeal membrane oxygenation (ECMO) for 9 days after failing high-frequency oscillatory ventilation (HFOV). To our knowledge, this is the oldest reported pediatric patient with respiratory failure secondary to human metapneumovirus that did not respond to mechanical ventilation. This case highlights three critical points: the potentially fatal causative role of HMPV in respiratory failure in an older pediatric age group of immunocompetent hosts, the importance of early recognition of impending respiratory failure, and the timely utilization of ECMO.http://dx.doi.org/10.1155/2012/268074
spellingShingle Abha Gupta
Melania Bembea
Anna Brown
Courtney Robertson
Lewis Romer
Ronald D. Cohn
Respiratory Failure Secondary to Human Metapneumovirus Requiring Extracorporeal Membrane Oxygenation in a 32-Month-Old Child
Case Reports in Pediatrics
title Respiratory Failure Secondary to Human Metapneumovirus Requiring Extracorporeal Membrane Oxygenation in a 32-Month-Old Child
title_full Respiratory Failure Secondary to Human Metapneumovirus Requiring Extracorporeal Membrane Oxygenation in a 32-Month-Old Child
title_fullStr Respiratory Failure Secondary to Human Metapneumovirus Requiring Extracorporeal Membrane Oxygenation in a 32-Month-Old Child
title_full_unstemmed Respiratory Failure Secondary to Human Metapneumovirus Requiring Extracorporeal Membrane Oxygenation in a 32-Month-Old Child
title_short Respiratory Failure Secondary to Human Metapneumovirus Requiring Extracorporeal Membrane Oxygenation in a 32-Month-Old Child
title_sort respiratory failure secondary to human metapneumovirus requiring extracorporeal membrane oxygenation in a 32 month old child
url http://dx.doi.org/10.1155/2012/268074
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