[Noncardiogenic pulmonary edema associated with hydrochlorothiazide use].
A 54 years old female patient with a mitral valve prolapse and a rheumatoid arthritis treated with steroids was admitted with dyspnea and hypotension, that started 30 min after taking a pill containing enapril and hydrochlorothiazide. Hemodynamic monitoring with a Swan-Ganz catheter showed a pulmonary capillary pressure of 5 mm Hg, a systemic vascular resistance of 887 (dyn sec)/cm5 and a cardiac output of 10 l/min. The patient had a history of adverse reactions to thiazides and responded to volume replacement, dopamine and steroids.
Saldaña
A
A
Departamento de Enfermedades Cardiovasculares, Escuela de Medicina, Universidad Católica de Chile, Santiago de Chile.
Jalil
J
J
Gaete
P
P
Fajuri
A
A
Castro
P
P
Godoy
I
I
Corbalán
R
R
D000707:Anaphylaxis / Q000139:chemically induced*; D002407:Catheterization, Swan-Ganz; D004298:Dopamine / Q000627:therapeutic use; D004342:Drug Hypersensitivity; D005260:Female; D006439:Hemodynamics; D006801:Humans; D006852:Hydrochlorothiazide / Q000009:adverse effects*; D006854:Hydrocortisone / Q000627:therapeutic use; D008875:Middle Aged; D011654:Pulmonary Edema / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000188:drug therapy; D011859:Radiography
D006852:Hydrochlorothiazide; D004298:Dopamine; D006854:Hydrocortisone
Edema pulmonar no-cardiogénico relacionado con la hidroclorotiazida.