11/95. Neurogenic pulmonary edema and large negative T waves associated with subarachnoid hemorrhage.We describe a 72-year-old woman with hypertension who developed acute neurogenic pulmonary edema and giant negative T waves on electrocardiography (ECG) due to subarachnoid hemorrhage. The patient was alert and complained of precordial chest discomfort, dyspnea and shoulder stiffness. echocardiography demonstrated normal left ventricle contraction with hypertrophy. Computed tomography (CT) and subsequent cerebral angiography revealed subarachnoid hemorrhage and saccular aneurysm at the anterior communicating artery. It is important to consider the possibility of subarachnoid hemorrhage when a patient shows pulmonary edema and ECG abnormalities even without typical clinical signs of subarachnoid hemorrhage.- - - - - - - - - - ranking = 1keywords = record (Clic here for more details about this article) |
12/95. poisoning due to abrus precatorius (jequirity bean).The management of a patient with poisoning due to ingestion of the jequirity bean (abrus precatorius) is presented. The clinical features of this case included pulmonary oedema and hypertension; this has not been recorded previously in the literature associated with jequirity bean poisoning.- - - - - - - - - - ranking = 1keywords = record (Clic here for more details about this article) |
13/95. Unilateral pulmonary oedema after drainage of a spontaneous pneumothorax. Case report and review of the literature.This is the ninth recorded case of the rare complication of unilateral pulmonary oedema following drainage of a pneumothorax. The complication should be anticipated if the pneumothorax has been present for longer than 3 days, or if coughing and shock develop after insertion of the drain. Radiological confirmation and prompt treatment are necessary. The literature is reviewed.- - - - - - - - - - ranking = 1keywords = record (Clic here for more details about this article) |
14/95. Pulmonary oedema caused by "liquid ecstasy" ingestion.In this case report we describe the first recorded case of alveolar gas exchange impairment caused by "liquid ecstasy" ingestion, and perhaps inhalation, by a 4 year old child. The pulmonary gas diffusion disturbance was sufficiently prolonged to raise the suspicion of a direct toxic effect on the alveolar-capillary membrane.- - - - - - - - - - ranking = 1keywords = record (Clic here for more details about this article) |
15/95. Open heart surgery during pregnancy--case report.A case of a 32-year-old woman in her 7th month of pregnancy presented with intractable pulmonary edema due to mitral restenosis is reported. Open-heart mitral commissurotomy was done as an emergency procedure. She continued pregnancy to term after the operation and delivered a healthy female baby. The literature related to "the closed" and "open" heart surgery during pregnancy has been reviewed.- - - - - - - - - - ranking = 0.29106691053193keywords = health (Clic here for more details about this article) |
16/95. Fatal haemorrhagic pulmonary oedema and associated angioedema after the ingestion of rofecoxib.angioedema is a recognised side effect of rofecoxib, a cyclo-oxygenase-2 (COX-2) inhibitor. But death resulting from a haemorrhagic pulmonary oedema after its ingestion has not been recorded. The case of a 60 year old man who died from haemorrhagic pulmonary oedema in the presence of angioedema after the ingestion of two doses of 12.5 mg of rofecoxib is reported.- - - - - - - - - - ranking = 1keywords = record (Clic here for more details about this article) |
17/95. Thiazolidinedione-associated congestive heart failure and pulmonary edema.OBJECTIVE: To evaluate the effect of thiazolidinediones on the development of cardiac failure and pulmonary edema during treatment of type 2 diabetes mellitus. patients AND methods: We retrospectively reviewed the medical records of 6 men (aged 66 to 78 years) treated at our institution between August 1, 2001, and May 21, 2002, who had type 2 diabetes and developed signs and symptoms of congestive heart failure and pulmonary edema after 1 to 16 months of therapy with pioglitazone or rosiglitazone. RESULTS: Four patients had chronic renal insufficiency; only 1 had ischemic cardiomyopathy. Symptoms resolved promptly in all 6 patients after administration of diuretics and discontinuation of the thiazolidinedione. CONCLUSION: We conclude that thiazolidinediones can cause or exacerbate heart failure and pulmonary edema and should be avoided in patients with left ventricular dysfunction or chronic renal insufficiency.- - - - - - - - - - ranking = 1keywords = record (Clic here for more details about this article) |
18/95. Hypervolemic pulmonary edema and severe coagulopathy after intrauterine dextran instillation.A healthy young woman with recurrent spontaneous abortion and septate uterus underwent hysteroscopic metroplasty with intracavitary instillation of 1350 mL of 10% dextran 40 in normal saline. After the operation, the patient developed acute hypervolemic pulmonary edema and severe coagulopathy due to temporary impairment of platelet function. Fluid overload, which could have been caused by the hyperosmolar properties of dextran, worsened progressively as fluids were drawn from the interstitial space and urine output was reduced. The use of a dilute and/or low-molecular-weight dextran solution to distend the uterine cavity during operative hysteroscopy is not without risk of complications.- - - - - - - - - - ranking = 0.29106691053193keywords = health (Clic here for more details about this article) |
19/95. Cardiac malignant lymphoma in acquired immune deficiency syndrome.BACKGROUND. Extranodal malignant lymphomas (ML) are known to occur with increased frequency in patients with human immunodeficiency virus infection. The authors report a 30-year-old man with acquired immune deficiency syndrome (AIDS) with ML primarily involving the heart and compare the clinical and pathologic features to those of previously reported patients. methods. The patient's hospital record was reviewed and pertinent clinical data were abstracted. Tissue obtained at autopsy was processed for routine light microscopic study and immunohistochemistry. A computer-assisted search of the medical literature for patients with malignant cardiac lymphoma was performed. RESULTS. The patient's initial signs and symptoms were nonspecific, and an abnormal gallium scan suggested pericarditis. Clinically, the course was characterized by progressive heart failure. autopsy disclosed a diffuse large cell non-Hodgkin lymphoma of B-cell phenotype with massive involvement of the pericardium and extension into the myocardium. A literature search revealed 22 patients with cardiac lymphoma associated with AIDS. Clinical findings were nonspecific, but rapid progression of cardiac dysfunction was common after symptoms appeared. Pathologically, most lymphomas were of diffuse aggressive subtypes. CONCLUSIONS. ML of the heart is extremely rare but is being encountered with increasing frequency in patients with AIDS. The diagnosis should be considered in such patients in whom cardiovascular symptoms develop suddenly and progress rapidly.- - - - - - - - - - ranking = 1keywords = record (Clic here for more details about this article) |
20/95. resuscitation from severe acute hypercapnia. Determinants of tolerance and survival.A 46-year-old man underwent cosmetic facial surgery under general anesthesia. He was ventilated by mask with an oxygen-enriched gas mixture for 4 to 6 h and monitored by pulse oximetry. Despite adequate arterial saturation (SaO2 > 90 percent) throughout the procedure, he remained in a deep coma after termination of anesthesia. Initial arterial blood gas analysis revealed a pH of 6.60 and a PaCO2 of 375 mm Hg. The patient was intubated and placed on mechanical ventilation. As his respiratory acidosis resolved, he regained consciousness quickly and recovered without any neurologic deficits. This case of record extreme hypercapnia and review of the literature demonstrates that survival is possible in acute severe respiratory acidosis as long as tissue anoxia and ischemia are prevented. We discuss the tissue effects of acute hypercapnia and newer aspects of the nature of intracellular pH regulation in critical tissues that afford considerable tolerance to acidosis. The dependence of these mechanisms upon active ion transport underscores the importance of adequate tissue oxygenation and perfusion.- - - - - - - - - - ranking = 1keywords = record (Clic here for more details about this article) |
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