Acute Pulmonary Edema Caused by Hypoglycemia Due to Insulin Overdose

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概要

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• 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.

• 社団法人　日本内科学会の論文
• 2004-11-01

著者

• OHIGASHI Sawako

  Department of Clinical Cell Biology (Second Department of Medicine), Chiba University Graduate Schoo

• UCHIDA Daigaku

  Department of Endocrinology and Metabolism, Kimitsu Central Hospital

• Kitamura Nobuya

  Department Of Emergency And Critical Care Medicine Graduate School Of Medicine Chiba University

• Kitamura Nobuya

  Department Of Emergency And Critical Care Medicine Kimitsu Central Hospital

• Tatsuno Ichiro

  Department Of Clinical Cell Biology Graduate School Of Medicine Chiba University

• Tatsuno Ichiro

  2nd Department Of Internal Medicine Chiba University School Of Medicine

• Tatsuno Ichiro

  Department Of Bacteriology Institute Of Medical Science The University Of Tokyo

• Uchida Daigaku

  Department Of Endocrinology And Metabolism Kimitsu Central Hospital

• Tatsuno Ichiro

  Department Of Clinical Cell Biology Chiba University Graduate School Of Medicine

• HIKITA Satosi

  Department of Emergency and Critical Care Medicine, Kimitsu Central Hospital

• MOTOYOSHI Mitsutaka

  Department of Internal Medicine, Memorial Hospital of Kazusa

• Hikita Satosi

  Department Of Emergency And Critical Care Medicine Kimitsu Central Hospital

• Ohigashi Sawako

  Department Of Clinical Cell Biology (second Department Of Medicine) Chiba University Graduate School

• Motoyoshi Mitsutaka

  Department Of Internal Medicine Memorial Hospital Of Kazusa

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