case_images: PMC10963117_01
case_images: (a, b) CT images of hemorrhagic alveolar pneumonia at its onset at ICU admission.
case_images: CRICC2024-7571764.001.jpg
case_images: PMC10963117_01_CRICC2024-7571764.001.jpg
case_images: fig1
case_images: Peripheral blood smear and bone marrow cytology revealed the presence of acute myeloblastic leukemia (AML), and she was admitted to intensive care unit (ICU) for worsening hypoxia and respiratory acidosis after an episode of chest pain and lung edema with hemoptysis, due to hemorrhagic alveolitis, as shown by chest computed tomography (CT) with bilateral floccular infiltrates like flowering tree (Figure 1).
case_images: (a, b) Trends of ventilatory settings and ICU stay from admission to 47th day. (a) On the 19th day, the patient was intubated and managed with invasive mechanical ventilation. (b) TV has not been registered before day 19th, as the patient was supported with a noninvasive mechanical ventilation at first, and TV was not reliable under noninvasive mechanical ventilation.
case_images: CRICC2024-7571764.002.jpg
case_images: PMC10963117_01_CRICC2024-7571764.002.jpg
case_images: fig2
case_images: (a, b) CT images showing the switch to bilateral fibrosis of the lungs due to prolonged mechanical ventilation during the weaning trial from the venovenous ECMO.
case_images: CRICC2024-7571764.003.jpg
case_images: PMC10963117_01_CRICC2024-7571764.003.jpg
case_images: fig3
case_images: On the 14th day from the beginning of ECMO, as soon as both blood gas parameters and radiological imaging (Figure 3) revealed the ARDS complete resolution, a gradual weaning from ECMO was started and ended on the 16th day of the ECMO maintenance.
case_images: Trends of (b) PaO2/FiO2 ratio and (a) FiO2 during the first 48 days of ICU stay. Progressive decreasing of fraction of inspired oxygen matches with an increase in the PaO2/FiO2 ratio. Days of ECMO support are comprised between 28th and 41st.
case_images: CRICC2024-7571764.004.jpg
case_images: PMC10963117_01_CRICC2024-7571764.004.jpg
case_images: fig4
case_images: Her improvement has been demonstrated by PaO2/FiO2 during recovery (Figure 4).
case_images: Trends of procalcitonin, reactive C protein, WBC, and platelets overlapped with a timeline of respiratory support, extracorporeal membrane oxygenation, and relevant nosocomial infections.
case_images: CRICC2024-7571764.005.jpg
case_images: PMC10963117_01_CRICC2024-7571764.005.jpg
case_images: fig5