An unusual cause of flash pulmonary oedema.
We report a case of young woman who presented with acute cardiogenic pulmonary oedema and respiratory failure. She underwent emergent endotracheal intubation and was transferred to the intensive care unit. She responded to intravenous diuretics and positive pressure ventilation. Subsequent workup revealed that she had Graves' disease and was in thyrotoxic crisis. Therapy with propranolol and propylthiouracil was instituted to which she showed remarkable improvement.
Department of Internal Medicine, St Vincent Hospital, Worcester, MA, USA.
Atul Vijay
AV
Palkar
Makardhwaj Sarvadaman
MS
Shrivastava
Nivedita D
ND
Moulick
D000328:Adult; D003937:Diagnosis, Differential; D004232:Diuretics / Q000627:therapeutic use; D005260:Female; D006333:Heart Failure / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D007362:Intensive Care Units; D007442:Intubation, Intratracheal; D011175:Positive-Pressure Respiration; D011654:Pulmonary Edema / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013902:Radiography, Thoracic; D013958:Thyroid Crisis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy
D004232:Diuretics