{
    "abstract": "Tsutsugamushi disease is an acute infectious disease caused by Rickettsia. Occasionally it has been reported in Macau, China. Critical cases are rare. Because the clinical manifestations of tsutsugamushi disease are non-specific and diverse, if not diagnosed and treated in time, the disease may progress to multiple organ dysfunction syndrome (MODS), severe acute respiratory distress syndrome (ARDS), and even death. A patient with tsutsugamushi disease complicated by MODS was admitted to the intensive care unit (ICU) of Kiang Wu Hospital in Macau, China on September 30, 2021. Combined with the history of outdoor activities (exposure to chigger mite larvae), clinical symptoms and signs (characteristic eschar of tsutsugamushi disease was found on the abdominal skin), related laboratory examinations (Weil-Felix test: negative). Diagnosis of tsutsugamushi disease with MODS. After admission, the patient was treated by anti-infection, correction of coagulation dysfunction, tracheal intubation and mechanical ventilation, noradrenalin to maintain blood pressure, continuous renal replacement therapy (CRRT), but the condition didn't improve significantly. We initiated veno-venous ECMO (VV-ECMO), which was initially setted blood flow to 5 L/min (70 mL\u00d7kg",
    "authors": [
        {
            "affiliation": "Department of Critical Care Medicine, Kiang Wu Hospital of Macau Special Administrative Region, Macau Special Administrative Region 00853, China. Corresponding author: Li Dabin, Email: dabinlee@yahoo.com.hk.",
            "firstname": "Shaofeng",
            "initials": "S",
            "lastname": "Xu"
        },
        {
            "affiliation": null,
            "firstname": "Dabin",
            "initials": "D",
            "lastname": "Li"
        },
        {
            "affiliation": null,
            "firstname": "Wenjin",
            "initials": "W",
            "lastname": "Li"
        },
        {
            "affiliation": null,
            "firstname": "Chengzhang",
            "initials": "C",
            "lastname": "Liu"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": "10.3760/cma.j.cn121430-20220509-00459",
    "journal": "Zhonghua wei zhong bing ji jiu yi xue",
    "keywords": [],
    "methods": null,
    "publication_date": "2022-12-07",
    "pubmed_id": "36473571",
    "results": null,
    "title": "[A case of tsutsugamushi disease complicated by multiple organ dysfunction syndrome treated by extracorporeal membrane oxygenation].",
    "xml": "<Element 'PubmedArticle' at 0x7885041011c0>"
}