Bail-out extracorporeal membrane oxygenation for hydroxychloroquine intoxication: a warning for COVID-19 health-care givers.
Acta Cardiol
; 76(2): 200-203, 2021 Apr.
Article
in English
| MEDLINE | ID: covidwho-1028835
ABSTRACT
This case report describes an intentional intoxication with 18 g of hydroxychloroquine (HCQ) presenting with unconsciousness, ventricular dysrhythmias, cardiogenic shock and pulmonary oedema. Initial treatment consisted of sodium bicarbonate, lipid emulsion, diazepam and norepinephrine. Because of persistent cardiogenic shock veno-arterial extracorporeal membrane oxygenation (V-A ECMO) was successfully used as a bridge to recovery. This case underscores the possible side effects of HCQ and the importance of considering ECMO in cardiogenic shock caused by HCQ intoxication which may occur also in patients with coronavirus disease 2019 (COVID-19) based on the currently frequent use of such a compound.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Extracorporeal Membrane Oxygenation
/
Caregivers
/
COVID-19
/
Hydroxychloroquine
Type of study:
Case report
/
Observational study
Limits:
Female
/
Humans
/
Middle aged
Language:
English
Journal:
Acta Cardiol
Year:
2021
Document Type:
Article
Affiliation country:
00015385.2020.1802903
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