Non-Cardiogenic Pulmonary Oedema Provoked by Acetazolamide

被引:0
|
作者
Naser, Naser [1 ]
Shehabi, Salma [1 ]
Maki, Khaled [1 ]
机构
[1] Royal Coll Surg Ireland Bahrain RCSI Bahrain, Busaiteen, Bahrain
来源
RESPIROLOGY CASE REPORTS | 2025年 / 13卷 / 02期
关键词
acetazolamide; intraocular pressure (IOP); non-cardiogenic pulmonary oedema (NCPE);
D O I
10.1002/rcr2.70118
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
A 61-year-old male was brought to the Emergency Department with severe shortness of breath, a throbbing headache, sweating, nausea, vomiting and diarrhoea after the administration of an acetazolamide tablet (250 mg) at a private ophthalmology clinic. On presentation, a chest X-ray was performed, showing diffuse alveolar opacities bilaterally, indicating pulmonary oedema, as seen in CT chest also. However, his echocardiogram revealed a normal ejection fraction with no signs of ischemia. He was subsequently diagnosed with non-cardiogenic pulmonary oedema (NCPE) and was immediately started on high-flow oxygen, later requiring mechanical ventilation. The patient was admitted to the Critical Care Unit with supportive treatment, including IV fluids and antibiotics, without steroid administration. Four days later, he was extubated and subsequently discharged from the ICU, followed by discharge from the hospital. Our case revolves around a rare yet potentially fatal episode of NCPE secondary to Acetazolamide use.
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页数:3
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