30 July 2025
: Case report 
Successful Management of Severe Refractory ARDS in Hemophagocytic Lymphohistiocytosis with VV-ECMO: A Case Report and Analysis
Challenging differential diagnosis, Management of emergency care, Rare disease
Mengqi Guan BCDE 1,2, Yan Qian C 3, Zihua Tang F 1,2, Yingya Cao C 1,2,4, Xiaogan Jiang ADG 1,2, Weihua Lu ACG 1,2*, Qiancheng Xu A 1,2,4DOI: 10.12659/AJCR.949154
Am J Case Rep 2025; 26:e949154
Figure 1 Chest X-ray Images during the hospitalization progressionThe first image shows the most severe lung involvement, with extensive bilateral infiltrates. In the second image, the patient begins receiving veno-venous extracorporeal membrane oxygenation treatment. The third and fourth images illustrate the progressive improvement of the patient’s condition, with a noticeable reduction in infiltrates and clearer lung fields.