Favourable Outcome after Prolonged Veno-Venous Extracorporeal Membrane Oxygenation (V-V ECMO) Support for Pneumocystis Jirovecii Pneumonia in a Renal Transplant Recipient.

A 27-year-old man, with a history of renal transplantation, presented with acute kidney failure and Pneumocystis jirovecii pneumonia. The patient developed severe acute respiratory failure and required support by veno-venous extracorporeal membrane oxygenation for a total of 59 days. During this period, the patient had extremely low tidal volumes using a lung protective ventilation strategy and intermittent prone positioning was used to optimise oxygenation. There was full recovery of pulmonary and partial recovery of renal function.