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Successful extracorporeal membrane oxygenation (ECMO) in Sri Lanka was first reported in 2017 in a neonate in Galle (1). Galle is endemic to leptospirosis, one of the emerging infections with a high case fatality rate in Sri Lanka (2). The estimated annual caseload of leptospirosis in Sri Lanka from 2008 to 2015 was 10,423 (2). Recently, there have been reports describing the use of ECMO in adults with severe leptospirosis-related pulmonary involvement in the medical literature (3). Physicians in our institution, concerned with the escalating number of deaths, particularly in young, fit men having leptospirosis-related severe pulmonary haemorrhagic syndrome (SPHS), approached our ECMO team to discuss the possibility of using ECMO in such adults.

galle medical journal

The story of adult veno-venous extracorporeal membrane oxygenation (ECMO) in Sri Lanka; a case report of leptospirosis-associated severe pulmonary haemorrhagic syndrome (SPHS)