Key result
Extracorporeal membrane oxygenation and subsequent valve replacement while fully anticoagulated successfully managed a 6-year-old female with fulminant rheumatic fever and severe respiratory failure.
Case Report (n=1)
No
Fulminant rheumatic fever can present as severe respiratory failure due to mitral valve dysfunction, and can be successfully managed with ECMO and valve replacement.
May inform rare pediatric fulminant rheumatic fever cases with respiratory failure; leaves open need for prospective validation before broader adoption.
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Crain et al. (2010) conducted a case report in Acute fulminant rheumatic fever with severe respiratory failure and mitral valve dysfunction (n=1). Extracorporeal membrane oxygenation (ECMO) and valve replacement was evaluated on Survival to discharge. Extracorporeal membrane oxygenation and subsequent valve replacement while fully anticoagulated successfully managed a 6-year-old female with fulminant rheumatic fever and severe respiratory failure.
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