Advertisement

Internal and Emergency Medicine

, Volume 5, Issue 2, pp 175–176 | Cite as

A case of negative pressure pulmonary edema associated with acute ethanol intoxication

  • Satoshi NakayamaEmail author
  • Naoya Murashima
CE - Letter to the Editor

Negative pressure pulmonary edema (NPPE) is well recognized as a non-cardiac pulmonary edema in which a transudation of fluid into the pulmonary interstitium takes place subsequent to the generation of unusually high negative intrathoracic pressures [1]. Although various causes of NPPE have been reported previously, we recently encountered a rare case of NPPE following glossoptosis caused by acute ethanol intoxication.

A 24-year-old man, who was drinking all night with his superior at work, lost consciousness, and was taken by ambulance to our hospital’s Emergency Department (ED). He was previously healthy, and neither an obese nor habitual drinker. He was comatose (Glasgow Coma Scale: E1V1M1) on arrival, but had no signs of injury. He breathed spontaneously with heavy snoring, but the breath sounds were clear. The vital signs on arrival were temperature 34.3°C, respiratory rate 20 breaths/min, heart rate 94 beats/min, blood pressure 98/47 mmHg, and room air oxygen saturation (SpO 2)...

Keywords

Croup Epiglottitis Blood Ethanol Concentration Pulmonary Blood Volume Negative Pressure Pulmonary Edema 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflict of interest statement

The authors declare that they have no conflict of interest related to the publication of this manuscript.

References

  1. 1.
    Louis PJ, Fernandes R (2002) Negative pressure pulmonary edema. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93:4–6. doi: 10.1067/moe.2002.119909 CrossRefPubMedGoogle Scholar
  2. 2.
    Schwartz DR, Maroo A, Malhotra A et al (1999) Negative pressure pulmonary hemorrhage. Chest 115:1194–1197CrossRefPubMedGoogle Scholar
  3. 3.
    Willms D, Shure D (1988) Pulmonary edema due to upper airway obstruction in adults. Chest 94:1090–1092CrossRefPubMedGoogle Scholar
  4. 4.
    Tami TA, Chu F, Wildes TO et al (1986) Pulmonary edema and acute upper airway obstruction. Laryngoscope 96:506–509CrossRefPubMedGoogle Scholar
  5. 5.
    Dawson A, Lehr P, Bigby BG, Mitler MM (1993) Effect of bedtime ethanol on total inspiratory resistance and respiratory drive in normal nonsnoring men. Alcohol Clin Exp Res 17:256–262CrossRefPubMedGoogle Scholar

Copyright information

© SIMI 2009

Authors and Affiliations

  1. 1.Department of GastroenterologyMishuku HospitalTokyoJapan
  2. 2.Department of GastroenterologyMishuku HospitalTokyoJapan

Personalised recommendations