Abstract
We report a case of neurogenic pulmonary oedema occurring in association with bacterial meningitis. An 87 year old man suddenly developed severe dyspnoea without cardiac failure (MUGA scan ejection fraction 47%). Radiographs showed pulmonary oedema. A few hours later he developed signs of meningitis and lumbar puncture suggested a partially treated bacterial meningitis. We suspect that the bacterial meningitis had induced neurogenic pulmonary oedema.
Keywords
References
1.
Bambrink
AM
,
Dick
WF
. Neurogenic pulmonary oedema; pathogenesis, clinical picture and therapy . Anaesthesist
1997 : 46 (11 ); 953 –63 .
2.
Colice
GL
,
Matthay
MA
,
Bass
E
,
Matthay
RA
. Neurogenic pulmonary oedema . Am. Rev. Respir. Dis.
1984 : 130 (5 ): 941 –8 .
3.
Schwarz
S
,
Schwab
S
,
Keller
E
,
Bertram
M
,
Hacke
W.
Neurogenic disorders of heart and lung function in acute cerbral lesions . Nervenarzt
1997 : 68 (12 );956 –62 .
4.
Rorbakken
G
,
Brunvand
R
Gundersen
T
,
Farstad
G.
Cardiopulmonary complications in acute subarachnoid haemorrhage . Tidsske Nor. Laegeforen
1998 : 118 (22 );3430 –4 .
5.
Smith
WS
.
Matthay
MA
. Evidence for a hydrostatic mechanism in human neurogenic pulmonary oedema . Chest
1997 : 111 (5 );132633 .
6.
Hagmolen
HW
,
Have
W.
Life-threatening heart failure in meningococcal septic shock in children . Eur.J.Pediatr
2000