PMC4501469_01
Chest X ray on admission to the SRFU for ECMO. Black arrow indicates the position of the respiratory (VV) ECMO cannula.
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fig1
He rapidly deteriorated both clinically and radiologically and by day +2 he required immediate transfer to our adult Severe Respiratory Failure Unit (SRFU) for respiratory (veno-venous) Extracorporeal Membrane Oxygenation (ECMO) (see Fig. 1).
Locations and sample type for mould surveillance cultures carried out at the patent's home. 1. Master bedroom (patient's bedroom), air sample: >1300 colony forming units (CFU) per cubic meter of air Penicillium glabrum, lower levels of Aspergillus fumigatus, Aspergillus niger, Aspergillus flavus and Rhizopus oryzae. 2. Adjacent bathroom (had undergone renovation): >1300 CFU mixed moulds. 3. Twins bedroom (adjacent to parent's bedroom and bathroom): >1300 CFU mixed moulds. 4. Lounge (where patient would go and sleep when feeling unwell): >1300 CFU mixed moulds.
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fig2
The home survey carried out found an extremely high level of mixed moulds, predominantly Penicillium glabrum species, in the air of the ground floor accommodation (see Figs. 2 and 3).
Further sampling locations with sample type. 1. Inside patient's bed (a double storage type bed box): >1300 CFU mixed moulds. 2. Fabric base of box storage under bed, contact plate: light growth mixed moulds: Penicillium glabrum, Aspergillus terreus, Aspergillus fumigatus and Geotrichum candidum. 3. Mouldy shoe stored in bed box (previously stored in the wardrobe in the patient's bedroom), contact plate: predominantly Penicillium glabrum.
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The home survey carried out found an extremely high level of mixed moulds, predominantly Penicillium glabrum species, in the air of the ground floor accommodation (see Figs. 2 and 3).