A case of acute respiratory failure in a young man

A case of acute respiratory failure in a young man

Authors

  • Fabio Di Stefano Dipartimento di Medicina Interna, Azienda USL di Chieti, Unità Operativa di Medicina Respiratoria ed Allergologia, Ospedale G. Bernabeo, Ortona (CH)

DOI:

https://doi.org/10.7175/cmi.v1i2.608

Keywords:

Acute pulmonary edema, Differential diagnosis

Abstract

A 40 years old man presents with a few hours history of progressive dyspnea. He was suffering from almost a week of low grade fever. The night before the onset of dyspnea he had high fever (39,5°C), polyuria and dysuria. His blood pressure is 115/65 mmHg and his oxygen saturation while breathing ambient air is 81%. Chest auscultation reveals rales bilaterally. A chest radiography shows bilateral pulmonary infiltrates consistent with pulmonary edema. How should this patient be evaluated to establish the cause of the acute pulmonary edema and to determine appropriate therapy?

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Published

2007-06-15

Issue

Section

Case report
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