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Localized Pulmonary Edema in Patient with Severe Mitral Regurgitation / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases ; : 432-435, 2005.
Artículo en Coreano | WPRIM | ID: wpr-95585
ABSTRACT
An 82-year-old female non-smoker with a history of hypertension presented with increasing dyspnea, cough and some purulent sputum without fever. Upon admission, the patient was in a distressed condition. Auscultation revealed diminished breath sounds with no rales over the right lung. An examination of the heart revealed a regular rhythm and a systolic murmur radiating from the apex of the heart. There was no pitting edema in the lower extremities. The blood tests showed mild leukocytosis and an increased C-reactive protein level. The O2 saturation was 98 % whilst breathing room air. The electrocardiogram demonstrated sinus tachycardia. The chest radiograph showed a moderate cardiomegaly, right lobe infiltrates, and blunting of the both costophrenic sulcus suggesting a small pleural effusion. Three days after admission, the symptoms became slightly aggravated despite being treated with empirical antibiotics for presumed community-acquired pneumonia. Transthoracic color Doppler echocardiography indicated an ejection fraction of 48 %, mild left ventricular enlargement, and moderate left atrial enlargement resulting in severe mitral regurgitation. The clinical symptoms and right pulmonary edema resolved quickly with intravenous furosemide treatment.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Derrame Pleural / Neumonía / Edema Pulmonar / Respiración / Auscultación / Esputo / Taquicardia Sinusal / Proteína C-Reactiva / Radiografía Torácica / Ruidos Respiratorios Límite: Anciano / Aged80 / Femenino / Humanos Idioma: Coreano Revista: Tuberculosis and Respiratory Diseases Año: 2005 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Derrame Pleural / Neumonía / Edema Pulmonar / Respiración / Auscultación / Esputo / Taquicardia Sinusal / Proteína C-Reactiva / Radiografía Torácica / Ruidos Respiratorios Límite: Anciano / Aged80 / Femenino / Humanos Idioma: Coreano Revista: Tuberculosis and Respiratory Diseases Año: 2005 Tipo del documento: Artículo