“…Therefore, the pathogenesis of ARDS is most simply described as extensive acute injury of a specific kind of respiratory cell directly by various insults, including infectious agents and/or host immune responses, or secondarily by ischemic insults, such as pulmonary thromboembolism or near drowning. Infectious factors such as pneumonia with/without sepsis caused by a variety of pathogens, including pneumococci, influenza viruses, coronaviruses, and malaria can be the cause of ARDS [3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23]. Also, various non-infectious factors, such as aspiration of gastric contents, near drowning, blunt chest contusion, multiple injuries, inhalation burns, pancreatitis, and multiple blood transfusions are associated with ARDS [24,25,26,27,28,29,30,31,32,33,34,35].…”