Chinese Medical Sciences Journal ›› 2019, Vol. 34 ›› Issue (3): 226-229.doi: 10.24920/003478

• Case Report • Previous Articles     Next Articles

Management of an Adult with Goodpasture’s Syndrome Following Brain Trauma with Extracorporeal Membrane Oxygenation: A Case Report

Wang Shan1, Yin Haiyan1, Zhu Youfeng1, Tao Pei1, Zhang Rui1, Ma Yonghui1, Wei Jianrui2, *()   

  1. 1 Department of Intensive Care Unit, Guangzhou Red Cross Hospital, Medical College, Jinan University, Guangzhou 510220, China
    2 Institute of Clinical Nutrition, Guangzhou Red Cross Hospital, Medical College, Jinan University, Guangzhou 510220, China
  • Received:2019-06-18 Online:2019-09-30 Published:2019-10-11
  • Contact: Wei Jianrui E-mail:jianrui_wei@sina.com
  • Supported by:
    Supported by the Natural Science Foundation of Guangdong Province of China(2015A030313735);the Science and Technology Planning Project of Guangdong Province of China(No. 2014A020212651)

Abstract:

A 22-year-old man suffered from acute pulmonary hemorrhage and deteriorated renal function occurred within 3 days after traumatic brain injury. Mechanical ventilation cannot correct his severe hypoxemia, therefore, venoarterial extracorporeal membrane oxygenation (VA-ECMO) support was initiated and finally resolved his hypoxemia. Concomitantly, continuous renal replacement therapy was performed to improve his kidney function. Although no anti-glomerular basement membrane (anti-GBM) antibody was detected in serum, Goodpasture’s syndrome was considered. After treated with methylprednisolone pulse therapy and plasmapheresis, his renal function was significantly improved. ECMO was eventually discontinued after 60 hours of treatment and extubated on day 10. He was discharged home with normal pulmonary and renal functions.

Key words: extracorporeal membrane oxygenation, pulmonary hemorrhage, Goodpasture's Syndrome, anti-glomerular basement membrane antibody

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