Localized Pulmonary Edema in Patient with Severe Mitral Regurgitation / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
; : 432-435, 2005.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-95585
Responsible library:
WPRO
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.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Pleural Effusion
/
Pneumonia
/
Pulmonary Edema
/
Respiration
/
Auscultation
/
Sputum
/
Tachycardia, Sinus
/
C-Reactive Protein
/
Radiography, Thoracic
/
Respiratory Sounds
Limits:
Aged
/
Aged, 80 and over
/
Female
/
Humans
Language:
Korean
Journal:
Tuberculosis and Respiratory Diseases
Year:
2005
Document type:
Article