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Swimming-Induced Pulmonary Edema Masquerading as Acute Respiratory Distress Syndrome: A Case Report
Madalasa Pokhrel1, Nava R Sharma2,3, Saral Lamichhane4
1Internal Medicine, Montefiore New Rochelle Hospital, Albert Einstein College of Medicine, New Rochelle, USA.
Cureus
|May 31, 2024
Summary
Swimming-induced pulmonary edema (SIPE) causes acute lung injury after swimming, even in healthy individuals. This condition, characterized by flash pulmonary edema, can be fatal but often resolves spontaneously.
Area of Science:
- Cardiology
- Pulmonary Medicine
- Emergency Medicine
Background:
- Swimming-induced pulmonary edema (SIPE) is a rare but potentially fatal condition.
- It presents as acute flash pulmonary edema following surface swimming.
- Pathophysiology remains poorly understood, complicating diagnosis.
Observation:
- The case involves a hypertensive, obese female presenting with dyspnea post-swimming.
- Symptoms included cough, hypoxemia, and signs of pulmonary edema.
- Diagnosis was challenging due to SIPE's infrequent reporting and complex nature.
Findings:
- The patient experienced acute onset of shortness of breath after recreational swimming.
- Clinical presentation and post-mortem findings (in general) show edematous lungs and frothy airways.
- SIPE is distinct from drowning, involving pulmonary edema with a closed glottis.
Implications:
- Early recognition and diagnosis of SIPE are crucial for timely management.
- Understanding SIPE pathophysiology is vital for preventing severe outcomes.
- This case highlights the importance of considering SIPE in swimmers presenting with acute respiratory distress.
Keywords:
ards (adult respiratory distress syndrome)flash pulmonary edemareexpansion pulmonary edemasipeswimming induced pulmonary edemaMore Related Videos
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