Acute Pulmonary Edema Caused by Hypoglycemia Due to Insulin Overdose

Daigaku UCHIDA; Sawako OHIGASHI; Satosi HIKITA; Nobuya KITAMURA; Mitsutaka MOTOYOSHI; Ichiro TATSUNO

doi:10.2169/internalmedicine.43.1056

Endocrine-Metaboric Diseases

Acute Pulmonary Edema Caused by Hypoglycemia Due to Insulin Overdose

Daigaku UCHIDA, Sawako OHIGASHI, Satosi HIKITA, Nobuya KITAMURA, Mitsutaka MOTOYOSHI, Ichiro TATSUNO

著者情報

キーワード: pulmonary edema, hypoglycemia, insulin, hypoglycemic coma, neurogenic pulmonary edema, catecholamine

ジャーナルオープンアクセス

2004 年 43 巻 11 号 p. 1056-1059

DOI https://doi.org/10.2169/internalmedicine.43.1056

詳細

抄録

We report a very rare case of acute pulmonary edema caused by hypoglycemia from insulin overdose during an attempted suicide. A 16-year-old woman with type 1 diabetes was brought to our hospital because of hypoglycemic coma. She exhibited severe hypoxia; upon intubation, bloody froth poured out of the tube. Chest X-ray revealed bilateral infiltrates. Endocrinological data revealed high concentrations of catecholamines. This case indicates that pulmonary edema remains a potential complication of insulin overdose. The possible mechanisms of pulmonary edema associated with hypoglycemia are discussed.

責任著者(Corresponding author)

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