{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:31:14Z","timestamp":1777915874504,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2022,8,17]],"date-time":"2022-08-17T00:00:00Z","timestamp":1660694400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>Case Summary: A 31-year-old female presented to a regional hospital at 27\u00a0weeks pregnant and was found to have COVID-19 ARDS. She underwent intubation and caesarian section for worsening hypoxia and non-reassuring fetal heart tones. Hypoxemia was refractory to proning requiring ECMO and transfer to a tertiary care center. Admission chest radiography showed a new right lower lobe cavitating lesion with computed tomography scan revealing a large multi-loculated cavity in the right lung and extensive bilateral ground-glass opacities. The patient was started on amphotericin and posaconazole, with final respiratory cultures growing Lichtheimia spp. Source control was discussed via possible open thoracostomy, but medical management alone was continued. Total ECMO support was 3\u00a0weeks. At the time of discharge to acute rehab, 1\u00a0month of amphotericin and posaconazole had been completed, with continuation of posaconazole. At last update, she had been discharged from rehab and was back home with her infant. Conclusion: Pulmonary mucormycosis, even in the non-ECLS population, carries a high mortality. Treatment in pulmonary disease with surgery improves mortality but is not always feasible. Salvage therapy with extended course antifungal medications may be an option for those not amendable<\/jats:p>","DOI":"10.1177\/02676591221111031","type":"journal-article","created":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T02:31:42Z","timestamp":1660789902000},"page":"1315-1318","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Successful treatment of pulmonary mucormycosis (\n                    <i>Lichtheimia spp.)<\/i>\n                    in a post-partum patient with COVID-19 ARDS requiring extra-corporeal membrane oxygenation using salvage therapy"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9726-6248","authenticated-orcid":false,"given":"Justin","family":"Hanks","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinya","family":"Unai","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandro","family":"Bribriesco","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Insler","sequence":"additional","affiliation":[{"name":"Department of Intensive Care and Resuscitation, Cleveland Clinic Foundation, Cleveland OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eileen","family":"Yu","sequence":"additional","affiliation":[{"name":"Case Western Reserve University, Cleveland OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jona","family":"Banzon","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease, Cleveland Clinic Foundation, Cleveland OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Mireles-Cabodevila","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, Cleveland Clinic Foundation, Cleveland OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Adi","sequence":"additional","affiliation":[{"name":"Department of Intensive Care and Resuscitation, Cleveland Clinic Foundation, Cleveland OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haytham","family":"Elgharably","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Yun","sequence":"additional","affiliation":[{"name":"Case Western Reserve University, Cleveland OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sudhir","family":"Krishnan","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, Cleveland Clinic Foundation, Cleveland OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,8,17]]},"reference":[{"key":"bibr1-02676591221111031","doi-asserted-by":"publisher","DOI":"10.1007\/s15010-021-01602-z"},{"key":"bibr2-02676591221111031","doi-asserted-by":"publisher","DOI":"10.1086\/432579"},{"key":"bibr3-02676591221111031","unstructured":"FDA (U.S. Food\/Drud Administration. 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