title: Recurrent shock and pulmonary edema due to acetazolamide medication after cataract surgery.
abstract: OBJECTIVE
  We report a patient with recurrent shock and transient non-cardiogenic pulmonary edema within a period of two months - every time occurring after cataract surgery and a single oral dose of standard post-operative medication with acetazolamide.
  
  
  METHODS
  Records of the intensive care unit, review of the literature.
  
  
  CONCLUSIONS
  This case demonstrates a rare but severe side effect of acetazolamide. We also present a review of the literature to raise the awareness of health care providers for this special form of non-cardiogenic pulmonary edema.
authors.affiliation: Department of Cardiology, University-Hospital of Erlangen-Nuremberg, Germany. Electronic address: stefan.zimmermann@uk-erlangen.de.
authors.forename: S
authors.initials: S
authors.lastname: Zimmermann
authors.affiliation: Department of Cardiology, University-Hospital of Erlangen-Nuremberg, Germany.
authors.forename: S
authors.initials: S
authors.lastname: Achenbach
authors.affiliation: Department of Pneumology, University-Hospital of Erlangen-Nuremberg, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Wolf
authors.affiliation: Department of Radiology, University-Hospital of Erlangen-Nuremberg, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Janka
authors.affiliation: Department of Cardiology, University-Hospital of Erlangen-Nuremberg, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Marwan
authors.affiliation: Department of Dermatology, University-Hospital of Erlangen-Nuremberg, Germany.
authors.forename: V
authors.initials: V
authors.lastname: Mahler
mesh_terms: D000086:Acetazolamide / Q000008:administration & dosage / Q000009:adverse effects*; D000368:Aged; D002257:Carbonic Anhydrase Inhibitors / Q000008:administration & dosage / Q000009:adverse effects*; D002387:Cataract Extraction; D006801:Humans; D008297:Male; D009798:Ocular Hypertension / Q000517:prevention & control; D011183:Postoperative Complications / Q000517:prevention & control; D011654:Pulmonary Edema / Q000139:chemically induced*; D012769:Shock / Q000139:chemically induced*
chemical_list: D002257:Carbonic Anhydrase Inhibitors; D000086:Acetazolamide
keywords: Acetazolamide; Cataract surgery; Diamox; Pulmonary edema; Shock; Side effects