Noncardiogenic acute pulmonary edema due to severe hypoglycemia—an old but ignored cause

Abstract We present a rare case of noncardiogenic pulmonary edema (NCPE) associated with sudden coma due to severe hypoglycemia. We suggest that in every case of NCPE associated with coma, a rapid determination of glycemia should be provided because delays in diagnosis can lead to adverse outcome.

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Bibliographic Details
Published inThe American journal of emergency medicine Vol. 26; no. 7; pp. 839.e3 - 839.e6
Main Authors Margulescu, Andrei D., MD, Sisu, Roxana C., MD, Cinteza, Mircea, MD, PhD, Vinereanu, Dragos, MD, PhD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.09.2008
Elsevier Limited
Subjects
Edema
Electrocardiography
Emergency
Emergency medical care
Glasgow Coma Scale
Head injuries
Health care
Humans
Hyperglycemia
Hypoglycemia - chemically induced
Hypoglycemia - complications
Hypoglycemic Agents - adverse effects
Insulin - adverse effects
Male
Medical diagnosis
Medical treatment
Middle Aged
Pulmonary Edema - diagnosis
Pulmonary Edema - etiology
Pulmonary Edema - physiopathology
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Summary:Abstract We present a rare case of noncardiogenic pulmonary edema (NCPE) associated with sudden coma due to severe hypoglycemia. We suggest that in every case of NCPE associated with coma, a rapid determination of glycemia should be provided because delays in diagnosis can lead to adverse outcome.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2008.01.037