Localized Pulmonary Edema in Patient with Severe Mitral Regurgitation / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
;
: 432-435, 2005.
Article
Dans Coréen
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Épanchement pleural
/
Pneumopathie infectieuse
/
Oedème pulmonaire
/
Respiration
/
Auscultation
/
Expectoration
/
Tachycardie sinusale
/
Protéine C-réactive
/
Radiographie thoracique
/
Bruits respiratoires
Limites du sujet:
Adulte très âgé
/
Aged80
/
Femelle
/
Humains
langue:
Coréen
Texte intégral:
Tuberculosis and Respiratory Diseases
Année:
2005
Type:
Article
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