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Article in Japanese
Abstract
Case Report
A case of swimming-induced pulmonary edema in an elderly woman with heart disease
Katsuaki Yazawaa Satoshi Hanzawab Yukihisa Inoueb Hiroshi Takasakia Susumu Isogaia
aDepartment of Pulmonary Medicine, Ome Municipal General Hospital
bDepartment of Respiratory Medicine, Tokyo Medical and Dental University
ABSTRACT
A 67-year-old woman was admitted to our hospital with dyspnea that occurred immediately after swimming in a pool. She had not aspirated water and had not been exposed to chloride gas. The result of blood gas analysis showed type I respiratory failure. She was diagnosed with swimming-induced pulmonary edema (SIPE), based on symptoms, physical examination, and imaging results. Ultrasonography results revealed aortic valve regurgitation (AR). We performed bronchoalveolar lavage (BAL) 24h after the incident. The appearance of the bronchoalveolar lavage fluid (BALF) was bloody and the neutrophil count was elevated. Here we describe a rare case of elderly-onset swimming-induced pulmonary edema.
KEYWORDS
Swimming-induced pulmonary edema (SIPE) Aged Bronchoalveolar lavage (BAL)
Received 21 Jun 2018 ／ Accepted 5 Feb 2019
AJRS, 8(3): 216-219, 2019
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