Severe acute reentry high altitude pulmonary edema in pediatric patients: report of three cases and literature review.
Turk J Pediatr
; 64(2): 400-407, 2022.
Article
in English
| MEDLINE | ID: covidwho-1876416
ABSTRACT
BACKGROUND:
High Altitude Pulmonary Edema (HAPE) is a fatal form of severe high-altitude illness. It is a form of noncardiogenic, noninfectious pulmonary edema secondary to alveolar hypoxia. The exact incidence of HAPE in children is unknown; however, most literature reports an incidence between 0.5-15%. There are three proposed HAPE types including classic HAPE, reentry HAPE, and high-altitude resident pulmonary edema (HARPE). CASE We present three pediatric patients who were diagnosed with re-entry high altitude pulmonary edema and did not have any underlying cardiac abnormalities. All patients reside in areas of high altitude with a history of travelling to places of lower altitude. They had respiratory infections prior to the manifestation of HAPE.CONCLUSIONS:
These are the first reported cases of children with reentry HAPE in Saudi Arabia. Reentry HAPE can occur in otherwise healthy children. Rapid ascent to high altitude and recent respiratory infections are the most commonly reported triggers. Prognosis is very favorable with a very rapid response to oxygen therapy. Education about HAPE is mandatory for families and health care workers working in high altitude areas.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pulmonary Edema
/
Respiratory Tract Infections
/
Altitude Sickness
Type of study:
Case report
/
Diagnostic study
/
Observational study
/
Prognostic study
/
Reviews
Topics:
Long Covid
Limits:
Child
/
Humans
Language:
English
Journal:
Turk J Pediatr
Year:
2022
Document Type:
Article
Affiliation country:
Turkjped.2021.611
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