High altitude pulmonary edema in a pediatric patient. Case report Case report

Main Article Content

Edwin Nicolas Ortegon Candela
Maria Estefania Peña Giraldo
Octavio Castellanos Bohorquez

Abstract

Background: High-altitude pulmonary edema is characterized by the development of pulmonary edema in healthy individuals moving to places above 2 500 meters above sea level. Case report: a thirteen-year-old patient is presented. He was admitted to the emergency department due to a clinical picture of the sudden onset of respiratory distress associated with a single emetic episode and chest pain. It was decided to take paraclinical laboratories and a chest X-ray on admission, where multiple findings related to altitude sickness and secondary pulmonary edema were found. Intravenous diuretic management and low-flow supplemental oxygen were given. The patient presented disease resolution after two days of treatment, evidenced in radiographic and clinical control. Conclusions: Given the current epidemiological alert of Sars-Cov-2 and the radiographic pattern that can be confused with types of atypical pneumonia, it is essential to recognize not only this type of patient but also the importance of proper fluid management administered and their complications.

Downloads

Download data is not yet available.

Article Details

How to Cite
Ortegon Candela, E. N., Peña Giraldo, M. E., & Castellanos Bohorquez, O. (2022). High altitude pulmonary edema in a pediatric patient. Case report: Case report. Pediatría, 55(3), 159–163. https://doi.org/10.14295/rp.v55i3.334
Section
Case report

References

Bärtsch P, Maggiorini M, Mairbäurl H, Vock P, and Swenson E. Pulmonary extravascular fluid accumulation in climbers (Letter). Lancet. 2002;360(9332):571. DOI: https://doi.org/10.1016/S0140-6736(02)09723-4

García E, Contreras E , Zuluaga S. Edema pulmonar de las alturas: reporte de un caso clínico. Revista colombiana de neumología. 2006;18(4):154–156.

Guadalupe L , Sandoval M, Rocha J,Ovseyevitz J. Edema pulmonar de las alturas: una urgencia en pediatría. Anales médicos. 2016;61(1):58–62.

Ucrós S, Dueñas E, Llano G, Posada E, Triana G, Navas C. Edema pulmonar de alturas en la ciudad de Bogotá. Departamentos de pediatría y radiología Fundación Santa fe de Bogotá. Pediatría. 2002;37(1).

Riaño L, Figueredo R, Vásquez-hoyos P. Edema pulmonar de altura por re-ascenso en pacientes pediátricos. Andes pediatr. 2021;92(2):257-262. DOI: https://doi.org/10.32641/andespediatr.v92i2.2977

Romos E, Guevara Y, Idrovo R, Vele V. Edema pulmonar de altura. Reporte de un caso y revisión de la literatura. Rev. Finlay. 2018;8(1):80-84. DOI: https://doi.org/10.4067/s0717-75262018000100080

Shah N, Hussain S, Cooke M, O'Hara J, Mellor A. Wilderness medicine at high altitude: recent developments in the field. J sports med. 2015;6:319–328. DOI: https://doi.org/10.2147/OAJSM.S89856

Scott A Gallagher, Peter Hackett, Jonathan M Rosen, High altitude illness: Physiology, risk factors, and general prevention. UpToDate, Waltham, MA. (accedido el 30 de octubre de 2021). Disponible en: https://www.uptodate.com/contents/high-altitude-illness-physiology-risk-factors-and-general-prevention.

Hackett PH, Luks, AM, et al. High-altitude medicine and pathophysiology. In: Wilderness Medicine, 7th ed, Auerbach PS (Ed), Elsevier, Philadelphia 2016. p.8.

Swenson, E. R., & Bärtsch, P. High-altitude pulmonary edema. Comprehensive Physiology. 2012;2(4):2753–2773. DOI: https://doi.org/10.1002/cphy.c100029

Galager S. High-altitude pulmonary edema. 2021 (accedido el 2 noviembre 2021). Disponible en https://www.uptodate.com/contents/high-altitude-pulmonary-edema

Similar Articles

<< < 5 6 7 8 9 10 11 12 13 14 > >> 

You may also start an advanced similarity search for this article.