[Recurrence of the acute respiratory distress syndrome in a patient with liver cirrhosis and diabetes mellitus].
The acute respiratory distress syndrome developed twice within 4 months in a patient with liver cirrhosis and diabetes mellitus. The diagnosis was made from the diffuse alveolar shadows seen on a chest X-ray film and a lung injury score of 3.3. The initial episode resolved quickly with steroid pulse therapy. The second episode resolved to some extent after the same therapy, but the patient died of hepatic and renal failure followed by acute pneumonia. The causes of the first and second episodes were considered to be different and the outcome depended on liver and kidney function. We report this case because the acute respiratory distress syndrome rarely occurs within 4 months.
Kishimoto
T
T
Department of Internal Medicine, Okayama Rohsai Hospital, Japan.
Ohke
M
M
Ozaki
S
S
Fujioka
H
H
Kimura
K
K
Sunami
K
K
Yonei
T
T
Ohnoshi
T
T
D000208:Acute Disease; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D048909:Diabetes Complications; D017809:Fatal Outcome; D006801:Humans; D007262:Infusions, Intravenous; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D008775:Methylprednisolone / Q000008:administration & dosage; D008875:Middle Aged; D012008:Recurrence; D012128:Respiratory Distress Syndrome / Q000188:drug therapy* / Q000209:etiology
D000893:Anti-Inflammatory Agents; D008775:Methylprednisolone