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 in:The American journal of emergency medicine 2008-09, Vol.26 (7), p.839.e3-839.e6
Main Authors: Margulescu, Andrei D., MD, Sisu, Roxana C., MD, Cinteza, Mircea, MD, PhD, Vinereanu, Dragos, MD, PhD
Format: Article
Language:English
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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Description
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