title: Acute neurogenic pulmonary edema following electroconvulsive therapy: a case report.
abstract: OBJECTIVE
  We report the case of a 47-year-old man with depression who developed acute dyspnea, hypoxemia, and mild hemoptysis after electroconvulsive therapy (ECT).
  
  
  METHODS
  Intravenous carbazochrome sodium sulfate hydrate as a hemostatic drug (100 mg/day) was prescribed for 2 days. On the day of ECT, oxygen inhalation (4 L/min) was continued, and SpO2 was maintained at 94-96%.
  
  
  RESULTS
  Chest radiography showed improvement in alveolar infiltration. Chest CT 6 days after ECT also confirmed the disappearance of ground glass opacities in the lung fields.
  
  
  CONCLUSIONS
  NPE is life threatening and should be recognized as an uncommon adverse event associated with ECT.
authors.affiliation: Department of Psychiatry, Shinshu University School of Medicine, Nagano, Japan. takatoh@shinshu-u.ac.jp
authors.forename: Tohru
authors.initials: T
authors.lastname: Takahashi
authors.forename: Kuni
authors.initials: K
authors.lastname: Kinoshita
authors.forename: Tomonori
authors.initials: T
authors.lastname: Fuke
authors.forename: Kazuhisa
authors.initials: K
authors.lastname: Urushihata
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Kawamata
authors.forename: Shin
authors.initials: S
authors.lastname: Yanagisawa
authors.forename: Tomoki
authors.initials: T
authors.lastname: Kaneko
authors.forename: Shinsuke
authors.initials: S
authors.lastname: Washizuka
authors.forename: Tokiji
authors.initials: T
authors.lastname: Hanihara
authors.forename: Naoji
authors.initials: N
authors.lastname: Amano
mesh_terms: D000323:Adrenochrome / Q000031:analogs & derivatives / Q000627:therapeutic use; D003866:Depressive Disorder / Q000628:therapy*; D004565:Electroconvulsive Therapy / Q000009:adverse effects*; D006490:Hemostatics / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D011654:Pulmonary Edema / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D014057:Tomography, X-Ray Computed
chemical_list: D006490:Hemostatics; D000323:Adrenochrome; C073338:carbazochrome