Seized by Blood: A Case of Neurogenic Pulmonary Edema Presenting As Diffuse Alveolar Hemorrhage

Neurogenic pulmonary edema (NPE) is a condition that is characterized by acute onset respiratory distress that uncommonly can cause diffuse alveolar hemorrhage (DAH). Our case is based on a 41-year-old female with a past medical history of seizure disorder who presented for shortness of breath and h...

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Published inCurēus (Palo Alto, CA) Vol. 16; no. 8; p. e67308
Main Authors Romero, Kaitlyn N, Reddy, Anvit D, Rai, Oshin, Karan, Abhinav, Rathore, Azeem, Jacob, Rafik
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 20.08.2024
Cureus
Subjects
Case reports
Convulsions & seizures
Diuretics
Dyspnea
Edema
Etiology
Hemoptysis
Hemorrhage
Internal Medicine
Lavage
Medicine
Neurology
Oxygen saturation
Pathophysiology
Patients
Pulmonary arteries
Pulmonology
Respiratory failure
United States > US
dah
seizure
hemoptysis
non-cardiogenic pulmonary edema
neurogenic pulmonary edema
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Summary:Neurogenic pulmonary edema (NPE) is a condition that is characterized by acute onset respiratory distress that uncommonly can cause diffuse alveolar hemorrhage (DAH). Our case is based on a 41-year-old female with a past medical history of seizure disorder who presented for shortness of breath and hemoptysis after a seizure. A computed tomography (CT) scan of the lungs revealed patchy ground glass subpleural airspace opacities bilaterally with increased secondary pulmonary lobule interstitial thickening. With concerns for DAH, a bronchoscopy was performed and revealed sequentially bloody aliquots. Infectious and autoimmune testing was negative. This case highlights a rare form of DAH arising from NPE.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.67308