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Exercise-Induced Pulmonary Edema in a Triathlon
Hirotomo Yamanashi1, Jun Koyamatsu1, Masaharu Nobuyoshi1
1Department of Island and Community Medicine, Nagasaki University Graduate School of Biomedical Science, Goto, Nagasaki 853-8691, Japan.
Case Reports in Medicine
|August 1, 2015
Summary
Exercise-induced pulmonary edema (EIPE) or swimming-induced pulmonary edema (SIPE) can occur in endurance athletes. Monitoring oxygen saturation is crucial for early detection and management of this condition at first-aid stations.
Area of Science:
- Sports Medicine
- Pulmonary Medicine
- Emergency Medicine
Background:
- Endurance sports participation is increasing, leading to more medical staff opportunities at athletic events.
- Family physicians may encounter athletes experiencing respiratory distress.
- Noncardiogenic pulmonary edema is a rare but serious condition associated with strenuous exercise.
Purpose of the Study:
- To report a case of exercise-induced pulmonary edema (EIPE) or swimming-induced pulmonary edema (SIPE).
- To highlight the importance of recognizing and managing EIPE/SIPE in endurance athletes.
- To emphasize the role of oxygen saturation monitoring in first-aid settings.
Main Methods:
- A case study of a 38-year-old male triathlete presenting with dyspnea post-swim.
- Clinical assessment including oxygen saturation and thoracic computed tomography.
- Treatment with furosemide and corticosteroid.
Main Results:
- The patient presented with severe hypoxemia (oxygen saturation 82%) and bilateral ground glass opacity on CT scan.
- Diagnosis of exercise-induced pulmonary edema (EIPE) or swimming-induced pulmonary edema (SIPE) was confirmed.
- Symptoms resolved following treatment with furosemide and corticosteroid.
Conclusions:
- Exercise-induced pulmonary edema (EIPE) or swimming-induced pulmonary edema (SIPE) requires prompt recognition and management.
- Oxygen saturation monitoring is a vital screening tool for pulmonary edema in exertional settings.
- Awareness of risk factors like cold water immersion and overhydration is crucial for athletes and medical personnel.
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