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La inundación unilateral: un caso de edema pulmonar unilateral
Mehul K1, Maithili Charan1, Soubhik Chakraborty1
1Department of Emergency Medicine, All India Institute of Medical Sciences, New Delhi, India.
The Journal of emergency medicine
|September 3, 2025
Resumen
El edema pulmonar unilateral (EPU) es raro y imita la neumonía. La ecocardiografía reveló regurgitación mitral que causa UPE, destacando la necesidad de una evaluación cardíaca en la disnea.
Área de la Ciencia:
- Cardiología
- Pulmonología
- Radiología
Sus antecedentes:
- El edema pulmonar unilateral (EPU) es una manifestación poco común del edema pulmonar cardiogénico.
- La EPU a menudo imita las infecciones pulmonares, lo que lleva a retrasos en el diagnóstico y a posibles diagnósticos erróneos.
Objetivo del estudio:
- Para reportar un caso de EPU secundario a una regurgitación mitral severa.
- Hacer hincapié en la utilidad diagnóstica de la ecografía en el punto de atención (POCUS) y la ecocardiografía en la EPU.
- Para resaltar la importancia de considerar las etiologías cardíacas en pacientes que presentan hallazgos pulmonares unilaterales.
Principales métodos:
- Informe de caso de una mujer de 51 años con enfermedad cardíaca reumática y disnea.
- Evaluación clínica, incluida la radiografía de tórax y la ecografía en el punto de atención (POCUS).
- Ecocardiografía transtorácica al lado de la cama para evaluar la estructura y función cardíaca.
Principales resultados:
- La radiografía de pecho mostró predominantemente congestión en el lado izquierdo.
- POCUS demostró un perfil B unilateral.
- La ecocardiografía reveló regurgitación mitral severa con un chorro excéntrico que causa presión venosa pulmonar elevada en el lado izquierdo y EPU.
Conclusiones:
- La EPU plantea desafíos de diagnóstico, a menudo imitando la neumonía.
- El POCUS es crucial para diferenciar la EPU de las etiologías infecciosas.
- La evaluación cardíaca inmediata es esencial para el diagnóstico y el tratamiento precisos de la EPU, como lo demuestra este caso de regurgitación mitral.
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