{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:02:15Z","timestamp":1740164535372,"version":"3.37.3"},"reference-count":6,"publisher":"Wiley","license":[{"start":{"date-parts":[[2018,10,22]],"date-time":"2018-10-22T00:00:00Z","timestamp":1540166400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Critical Care"],"published-print":{"date-parts":[[2018,10,22]]},"abstract":"<jats:p>A 57-year-old man presented to the emergency department with fever and progressive altered level of consciousness of 5 days\u2019 duration. Three days before admission, influenza A was diagnosed at a clinic. On admission, his vital signs were unstable. Pneumonia was diagnosed through chest computed tomography, and urinary<jats:italic> Legionella<\/jats:italic> antigen test was positive. A diagnosis of septic shock due to<jats:italic> Legionella<\/jats:italic> and influenza pneumonia was made, and critical care management was initiated, including mechanical ventilation and vasopressors. However, tachycardia did not improve, left ventricular ejection fraction was 20%, and circulatory insufficiency progressed. Therefore, considering the involvement of septic cardiomyopathy and cardiogenic shock, veno-arterial extracorporeal membrane oxygenation (VA-ECMO) was initiated for circulation assistance on day 3 since admission. Tachycardia and myocardial dysfunction improved by day 8, and VA-ECMO was withdrawn. Subsequently, nutrition management and rehabilitation were performed, and the patient was transferred to a recovery hospital on day 108. VA-ECMO may be beneficial when concomitant with circulatory assistance in uncontrollable cases of septic cardiomyopathy using catecholamines and <jats:italic>\u03b2<\/jats:italic>-blockers. It may be necessary to adopt VA-ECMO at an appropriate time before the patient progresses to cardiopulmonary arrest.<\/jats:p>","DOI":"10.1155\/2018\/6973197","type":"journal-article","created":{"date-parts":[[2018,10,22]],"date-time":"2018-10-22T19:39:07Z","timestamp":1540237147000},"page":"1-4","source":"Crossref","is-referenced-by-count":0,"title":["Veno-Arterial Extracorporeal Membrane Oxygenation for Septic Cardiomyopathy due to<i> Legionella <\/i>Pneumonia after Influenza Virus Infection"],"prefix":"10.1155","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2931-8314","authenticated-orcid":true,"given":"Motohiro","family":"Asaki","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Emergency and Critical Care Center, Fujieda Municipal General Hospital, Shizuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takamitsu","family":"Masuda","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Emergency and Critical Care Center, Fujieda Municipal General Hospital, Shizuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuo","family":"Miki","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Emergency and Critical Care Center, Fujieda Municipal General Hospital, Shizuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1086\/586741"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-100-4-483"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e31828a2370"},{"volume":"3, article 48","journal-title":"Journal of Intensive Care","year":"2015","key":"4"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1056\/nejm199510193331601"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.278477"}],"container-title":["Case Reports in Critical Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cricc\/2018\/6973197.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cricc\/2018\/6973197.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cricc\/2018\/6973197.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,10,22]],"date-time":"2018-10-22T19:39:08Z","timestamp":1540237148000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cricc\/2018\/6973197\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10,22]]},"references-count":6,"alternative-id":["6973197","6973197"],"URL":"https:\/\/doi.org\/10.1155\/2018\/6973197","relation":{},"ISSN":["2090-6420","2090-6439"],"issn-type":[{"type":"print","value":"2090-6420"},{"type":"electronic","value":"2090-6439"}],"subject":[],"published":{"date-parts":[[2018,10,22]]}}}