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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.
Abstract:
High altitude pulmonary edema (HAPE) is a life-threatening altitude illness that usually occurs in insufficiently acclimatized climbers in the first few days at altitudes above 2500 m. Acetazolamide is recommended for prophylaxis of acute mountain sickness, but a role for acetazolamide in the prevention of HAPE has not been established. We report a case of a trekker with previous high altitude experience who developed HAPE 8 d after arrival to altitude despite what was believed to be a conservative ascent profile.
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