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April 1, 2022Journal of International Medical ResearchOpen Access

Unilateral pulmonary oedema: a case report and literature review

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Key result

A 67-year-old male with unilateral pulmonary oedema caused by acute myocarditis, initially misdiagnosed as pneumonia, made a full recovery following treatment with extracorporeal membrane oxygenation.

Design

Case report and literature review

Authors

WSWei-Xue SuCapital Medical UniversityXQXuefeng QianShanghai Jiao Tong UniversityLJLi JiangKunming University of Science and Technology

Discussion

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Member takes

Implication

May prompt consideration of atypical viral myocarditis; leaves open whether this represents a distinct entity requiring validation.

Study Design

Type

Case Report (n=1)

Multicenter

No

Structured PICO

P
Population
A 67-year-old male with hypertension who presented with unilateral pulmonary oedema secondary to acute severe myocarditis and cardiogenic shock.
I
Intervention
Extracorporeal membrane oxygenation (ECMO) via left femoral artery and right femoral vein, intra-aortic balloon pump (IABP), mechanical ventilation, and continuous renal replacement treatment.
O
Outcome
Clinical recovery and resolution of unilateral pulmonary oedema.

Unilateral pulmonary oedema is a rare complication of acute myocarditis that can be misdiagnosed as pneumonia, but can be successfully managed with mechanical circulatory support such as ECMO.

Limitations

  • Bedside echocardiography could not provide a clearer image, and transoesophageal ultrasound or valvular angiography could not be undertaken.
  • Pulmonary artery catheter or Swan-Ganz catheter were not undertaken to evaluate pulmonary circulation pressure.
  • Continuous haemodynamic monitoring (PiCCO) was not established because femoral arteries were occupied by ECMO and IABP catheters.

Cite This Study

Su et al. (2022) conducted a case report in Unilateral pulmonary oedema secondary to acute myocarditis (n=1). Extracorporeal membrane oxygenation (ECMO) was evaluated on Clinical recovery. A 67-year-old male with unilateral pulmonary oedema caused by acute myocarditis, initially misdiagnosed as pneumonia, made a full recovery following treatment with extracorporeal membrane oxygenation.

synapsesocial.com/papers/6a7761e5576efb0ddaf74d41https://doi.org/10.1177/03000605221093678

Topics

Myocarditis
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Unilateral pulmonary edema: a case report and review of the literature2018 · 27 citations
  2. 2An unusual cause of right upper- and mid-zone infiltrates on chest x-ray2007 · 7 citations
  3. 3Pulmonary edema localized in the right upper lobe accompanying mitral regurgitation.1989 · 66 citations
  4. 4Pulmonary edema associated with mitral regurgitation: prevalence of predominant involvement of the right upper lobe.1993 · 85 citations