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Acute neurogenic pulmonary edema following electroconvulsive therapy: a case report
Tohru Takahashi1, Kuni Kinoshita, Tomonori Fuke
1Department of Psychiatry, Shinshu University School of Medicine, Nagano, Japan. takatoh@shinshu-u.ac.jp
Objective:
We report the case of a 47-year-old man with depression who developed acute dyspnea, hypoxemia, and mild hemoptysis after electroconvulsive therapy (ECT).
Method:
Intravenous carbazochrome sodium sulfate hydrate as a hemostatic drug (100 mg/day) was prescribed for 2 days. On the day of ECT, oxygen inhalation (4 L/min) was continued, and SpO2 was maintained at 94-96%.
Results:
Chest radiography showed improvement in alveolar infiltration. Chest CT 6 days after ECT also confirmed the disappearance of ground glass opacities in the lung fields.
Conclusion(S):
NPE is life threatening and should be recognized as an uncommon adverse event associated with ECT.
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