Fatal Acute Respiratory Distress Syndrome in Children with Combined Immunodeficiencies

Authors

  • Tanıl Kendirli
  • Figen Doğu
  • Aydan İkincioğulları
  • Caner Aytekin
  • Alişan Yıldıran
  • Mutlu Yüksek
  • Erdal İnce

Keywords:

Respiratory distress syndrome, immunodeficiency syndrome, cytomegalovirus, child, therapy

Abstract

Acute respiratory distress syndrome (ARDS) is an acute form of severe alveolar-capillary disease that evolves after a direct or indirect lung injury. It is characterized by impaired oxygenation (PaO2/FiO2 < 200), bilateral pulmonary densities detectable by radiography and a pulmonary wedge occlusion pressure of less than 18 mmHg. Mortality remains high among children with ARDS, particularly in the presence of serious underlying conditions such as sepsis and multiple organ dysfunction syndrome. Here, we report five children with ARDS who were also diagnosed as either severe or combined immunodeficiency. Surfactant was given to four patients and mechanical ventilation was performed in all children. Although one responded temporarily, all patients died due to ARDS and multiple organ dysfunction syndrome. In conclusion, if pneumonia and ARDS develop in a patient with combined immunodeficiency, it usually ends with multiple organ dysfunction syndrome leading to mortality.

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Published

2016-12-04

How to Cite

1.
Kendirli T, Doğu F, İkincioğulları A, Aytekin C, Yıldıran A, Yüksek M, İnce E. Fatal Acute Respiratory Distress Syndrome in Children with Combined Immunodeficiencies. AAI [Internet]. 2016 Dec. 4 [cited 2022 Jan. 24];7(3):180-8. Available from: https://aai.org.tr/index.php/aai/article/view/329

Issue

Section

Case Reports