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Delayed-Onset High Altitude Pulmonary Edema: A Case Report.
Anjan Bhattarai1, Suman Acharya1, Jayant Kumar Yadav1
1Mountain Medicine Society of Nepal, Kathmandu, Nepal.
Wilderness & Environmental Medicine
|January 16, 2019
Summary
High altitude pulmonary edema (HAPE) can occur even in experienced climbers with gradual ascent. This case highlights that acetazolamide
Area of Science:
- Altitude sickness research
- Pulmonary medicine
- Cardiovascular physiology
Background:
- High altitude pulmonary edema (HAPE) is a severe condition affecting climbers above 2500m.
- Acetazolamide is used for acute mountain sickness but its HAPE prevention role is unclear.
Observation:
- A trekker with prior altitude experience developed HAPE.
- HAPE occurred 8 days after arrival at altitude.
- The ascent profile was considered conservative.
Findings:
- This case suggests HAPE can occur despite acclimatization and conservative ascent.
- The established role of acetazolamide in HAPE prevention requires further investigation.
Implications:
- Clinicians should consider HAPE risk even in seemingly low-risk individuals.
- Further research is needed to clarify acetazolamide's efficacy in HAPE prevention.
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