Acute cardiogenic pulmonary edema induced by severe hypoglycemia — A rare case report

Abstract

Both of hypoglycemia and acute pulmonary edema (APE) are medical emergencies and need immediate treatment to decrease the possible morbidity and mortality. There were some rare case reports discussing about the association between hypoglycemia and APE [ 1 Baruh S. Sherman L. Hypoglycemia, a cause of pulmonary edema. Progressive, fatal pulmonary edema complicating hypoglycemia induced by alcohol and insulin. J Natl Med Assoc. May 1975; 67: 200-204 PubMed Google Scholar , 2 Ortega E. Wagner A. Caixàs A. Barcons M. Corcoy R. Hypoglycemia and pulmonary edema: a forgotten association. Diabetes Care. Jul 2000; 23: 1023-1024 Crossref PubMed Scopus (12) Google Scholar , 3 Mishriki Y.Y. Hypoglycemia-induced neurogenic-type pulmonary edema: an underrecognized association. Endocr Pract. Sep-Oct 2004; 10: 429-431 Abstract Full Text Full Text PDF PubMed Google Scholar , 4 Margulescu A.D. Sisu R.C. Cinteza M. Vinereanu D. Noncardiogenic acute pulmonary edema due to severe hypoglycemia--an old but ignored cause. Am J Emerg Med. Sep 2008; 26: 839.e3-6 Abstract Full Text Full Text PDF PubMed Scopus (5) Google Scholar ]; however, the mechanism of APE in these cases was related to neurogenic or metabolic but not cardiogenic cause. Herein, we reported a case of cardiogenic APE and respiratory failure after suffering from severe hypoglycemia and the mechanism of APE in the case was due toTakotsubo cardiomyopathy (TCMP) triggered by severe hypoglycemia.