Discordant radioaerosol/radioperfusion in drug-induced maternal pulmonary edema.
A case of pulmonary edema in a 34-year-old pregnant woman on corticosteroids and beta adrenergics yielded an unusual radioaerosol/radioperfusion lung image. The image showed normal perfusion but multiple bilateral penetration defects on the radioaerosol study. Factors contributing to this unique pattern include the combined action of corticosteroids and beta-adrenergic agonists, local airway irritation caused by the drying effect of nebulized oxygen, sepsis, or a combination of these factors.
Sylvester
J
J
Section of Nuclear Medicine, University of Missouri-Columbia Hospital and Clinics, Harry S. Truman Memorial Veterans Hospital 65201.
Fuentes
R T
RT
Holmes
R A
RA
D000328:Adult; D001623:Betamethasone / Q000009:adverse effects* / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging*; D007752:Obstetric Labor, Premature / Q000517:prevention & control; D011247:Pregnancy; D011248:Pregnancy Complications / Q000139:chemically induced* / Q000000981:diagnostic imaging; D011654:Pulmonary Edema / Q000139:chemically induced* / Q000000981:diagnostic imaging; D011877:Radionuclide Imaging; D013726:Terbutaline / Q000009:adverse effects* / Q000627:therapeutic use
D001623:Betamethasone; D013726:Terbutaline