Citation

Marín GR, Baspineiro B. Arch. Argent. Pediatr. 2010; 108(2): e28-32.

Vernacular Title

Edema pulmonar neurogenico posconvulsion secundario a intoxicacion aguda

Affiliation

Unidad de Nefrología, Hospital de Niños Héctor Quintana, Jujuy, Argentina. tama@imagine.com.ar

Copyright

(Copyright © 2010, Sociedad Argentina de Pediatria)

DOI

10.1590/S0325-00752010000200013

PMID

20467696

Abstract

We reported the case of an adolescent, without neurological background, who attempted suicide by organochlorine pesticide ingestion. The acute intoxication was expressed as a convulsive status epilepticus followed by an acute neurogenic pulmonary edema with rapid recovery within 48 hours. The diagnosis of neurogenic pulmonary edema in pediatrics, and particulary after a seizure, is unusual and often an exclusion one. Its evolution tends to be favorable, but can be fatal if it is not recognized and treated early. An acute nervous system injury associated with signs and symptoms of respiratory failure suggests the diagnosis. Other causes of pulmonary edema must be ruled out in order to avoid evaluation and treatment mistakes.

Language: es