Edema pulmonar no-cardiogénico relacionado con la hidroclorotiazida / Non-cardiogenic pulmonary edema related to hidrochlorothiazide

A 54 years old female patient with a mitral valve prolapse and a rheumatic arthritis with steroids was admitted with dysnea and hypotension, that started 30 min after taking a pill containing enapril and hydroclorothiazide. Hemodynamic monitoring with a Swan-Ganz catheter showed a pulmonary capillary pressure of 5 mm Hg, a systemic vascular resistance of 887 (dyn sec)/cm5 and a cardiac output of 10 1/min. Tha patient had a history of adverse reactions to thiazides and responded to volume replacement, dopamine and steroids