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Neurogenic pulmonary edema associated with meningitis
V Chotmongkol1, C Thiensiri, P Boonma
1Department of Medicine, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Thailand.
Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|September 1, 1990
Abstract:
A 17-year-old man presented with acute febrile, obtundation, nuchal rigidity and CSF pleocytosis with polymorphonuclear cell predominate. He developed acute pulmonary edema which could not be explained by other mechanisms. Meningitis appears to be another cause of neurogenic pulmonary edema.
Insights
Meningitis can cause neurogenic pulmonary edema. This case highlights a rare complication in a young male with acute meningitis and respiratory distress.
Area of Science:
- Neurology
- Pulmonology
- Infectious Diseases
Background:
- Cerebrospinal fluid (CSF) analysis revealed pleocytosis with a predominance of polymorphonuclear cells, indicative of bacterial meningitis.
- The patient presented with classic meningitis symptoms including fever, obtundation, and nuchal rigidity.
Observation:
- The patient developed acute pulmonary edema.
- The pulmonary edema was not attributable to other common causes such as fluid overload or cardiac dysfunction.
Findings:
- Meningitis was identified as the likely cause of the neurogenic pulmonary edema.
- This suggests a potential link between central nervous system inflammation and acute respiratory distress.
Implications:
- Clinicians should consider meningitis as a potential cause of unexplained acute pulmonary edema, especially in young patients.
- Further research is warranted to elucidate the mechanisms underlying meningitis-induced neurogenic pulmonary edema.