Negative pressure pulmonary oedema due to rigors and chills associated with liver abscess
Abstract A 61‐year‐old male presented with progressive generalized weakness, myalgia, diaphoresis, fever, episodic chills and rigors that had started 4 days previously. Chest x‐ray (CXR) showed overlying curvilinear radio‐opacities. Abdominal computed tomography revealed liver and bilateral adrenal...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-09-01
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| Series: | Respirology Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/rcr2.826 |
| _version_ | 1818883133507895296 |
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| author | Haroon Chaudhry Swathi Nimmala Bhavani Nagendra Papudesi Fizza Sajjad Sanu Paul Zimran Gohar Reuben Azad Hannah Naveen Joseph Demidovich |
| author_facet | Haroon Chaudhry Swathi Nimmala Bhavani Nagendra Papudesi Fizza Sajjad Sanu Paul Zimran Gohar Reuben Azad Hannah Naveen Joseph Demidovich |
| author_sort | Haroon Chaudhry |
| collection | DOAJ |
| description | Abstract A 61‐year‐old male presented with progressive generalized weakness, myalgia, diaphoresis, fever, episodic chills and rigors that had started 4 days previously. Chest x‐ray (CXR) showed overlying curvilinear radio‐opacities. Abdominal computed tomography revealed liver and bilateral adrenal lesions. Empiric 7‐day intravenous Piperacillin / Tazobactam (Zosyn) was initiated, and he was admitted for sepsis. After an episode of rigors on Day 2, he developed acute hypoxic respiratory failure with inspiratory stridor. CXR revealed new, bilateral airspace disease. Racemic Epinephrine, Solumedrol, Ketorolac (Toradol) and Diphenhydramine were given, and he was transferred to the intensive care unit with presumptive diagnosis of foreign body aspiration or allergic reaction. With each subsequent episode of rigor and chills, he continued developing hypoxic respiratory failure with stridor and an incremental increase in pulmonary oedema on imaging. Pulmonologist concluded it likely secondary to negative pressure pulmonary oedema caused by transient laryngeal dyskinesia induced by the increased work of breathing associated with rigors. Symptoms resolved after the complete course of antibiotics along with supportive therapy. |
| first_indexed | 2024-12-19T15:28:48Z |
| format | Article |
| id | doaj.art-f78d5f20511d4b14b260635ddc128a61 |
| institution | Directory Open Access Journal |
| issn | 2051-3380 |
| language | English |
| last_indexed | 2024-12-19T15:28:48Z |
| publishDate | 2021-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj.art-f78d5f20511d4b14b260635ddc128a612022-12-21T20:15:48ZengWileyRespirology Case Reports2051-33802021-09-0199n/an/a10.1002/rcr2.826Negative pressure pulmonary oedema due to rigors and chills associated with liver abscessHaroon Chaudhry0Swathi Nimmala1Bhavani Nagendra Papudesi2Fizza Sajjad3Sanu Paul4Zimran Gohar5Reuben Azad6Hannah Naveen7Joseph Demidovich8Department of Internal Medicine Suburban Community Hospital East Norriton Pennsylvania USADepartment of Internal Medicine Suburban Community Hospital East Norriton Pennsylvania USADepartment of Internal Medicine Suburban Community Hospital East Norriton Pennsylvania USADepartment of Science University of Albany Albany New York USADepartment of Internal Medicine Suburban Community Hospital East Norriton Pennsylvania USADepartment of Internal Medicine Suburban Community Hospital East Norriton Pennsylvania USADepartment of Cardiology Albert Einstein Medical Center Philadelphia Pennsylvania USADepartment of Medicine All Saints University School of Medicine Roseau DominicaDepartment of Internal Medicine Suburban Community Hospital East Norriton Pennsylvania USAAbstract A 61‐year‐old male presented with progressive generalized weakness, myalgia, diaphoresis, fever, episodic chills and rigors that had started 4 days previously. Chest x‐ray (CXR) showed overlying curvilinear radio‐opacities. Abdominal computed tomography revealed liver and bilateral adrenal lesions. Empiric 7‐day intravenous Piperacillin / Tazobactam (Zosyn) was initiated, and he was admitted for sepsis. After an episode of rigors on Day 2, he developed acute hypoxic respiratory failure with inspiratory stridor. CXR revealed new, bilateral airspace disease. Racemic Epinephrine, Solumedrol, Ketorolac (Toradol) and Diphenhydramine were given, and he was transferred to the intensive care unit with presumptive diagnosis of foreign body aspiration or allergic reaction. With each subsequent episode of rigor and chills, he continued developing hypoxic respiratory failure with stridor and an incremental increase in pulmonary oedema on imaging. Pulmonologist concluded it likely secondary to negative pressure pulmonary oedema caused by transient laryngeal dyskinesia induced by the increased work of breathing associated with rigors. Symptoms resolved after the complete course of antibiotics along with supportive therapy.https://doi.org/10.1002/rcr2.826critical caredyspnoealaryngeal dyskinesialiver abscessNPPE |
| spellingShingle | Haroon Chaudhry Swathi Nimmala Bhavani Nagendra Papudesi Fizza Sajjad Sanu Paul Zimran Gohar Reuben Azad Hannah Naveen Joseph Demidovich Negative pressure pulmonary oedema due to rigors and chills associated with liver abscess Respirology Case Reports critical care dyspnoea laryngeal dyskinesia liver abscess NPPE |
| title | Negative pressure pulmonary oedema due to rigors and chills associated with liver abscess |
| title_full | Negative pressure pulmonary oedema due to rigors and chills associated with liver abscess |
| title_fullStr | Negative pressure pulmonary oedema due to rigors and chills associated with liver abscess |
| title_full_unstemmed | Negative pressure pulmonary oedema due to rigors and chills associated with liver abscess |
| title_short | Negative pressure pulmonary oedema due to rigors and chills associated with liver abscess |
| title_sort | negative pressure pulmonary oedema due to rigors and chills associated with liver abscess |
| topic | critical care dyspnoea laryngeal dyskinesia liver abscess NPPE |
| url | https://doi.org/10.1002/rcr2.826 |
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