Диагностика пневмонии у больного с высокогорным острым отеком легких
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Sarybaev A.Sh., Maripov A.M., Muratali Uulu K., et al. High altitude pulmonary edema misdiagnosed as pneumonia. Therapeutic Archive. 2019; 91 (3): #–70. DOI: 10.26442/00403660.2019.03.000151
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Ключевые слова: высокогорный острый отек легких, пневмония, ошибочная диагностика.
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High altitude pulmonary edema (HAPE) is a relatively rare form of high altitude illness. However, without immediate treatment, HAPE is fatal. Furthermore, HAPE is characterized by non-specific signs and symptoms, and many clinical conditions may mimic it. In the present article, we report a case of HAPE misdiagnosed as pneumonia. We also discuss the issues of prevention and early treatment options in this illness.
Keywords: high altitude pulmonary edema, pneumonia, misdiagnosis.
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3. Hackett PH, Rennie D, Levine HD. The incidence, importance, and prophylaxis of acute mountain sickness. Lancet. 1976;2:1149-55. doi: 10.1016/S0140-6736(76)91677-9
4. Hackett PH, Roach R, Sutton JR. High altitude medicine. In: Auerbach PS, Geehr EC, eds. Management of wilderness and environmental emergencies 2nd ed. St. Louis, MO: C.V. Mosby, 1989:1-34.
5. Houston CS. Acute pulmonary edema of high altitude. N Engl J Med. 1960;263:478-80. doi: 10.1056/nejm196009082631003
6. Basnyat B, Sill D, Gupta V. Myocardial infarction or high-altitude pulmonary edema? Wilderness Environ Med. 2000;11:196-8. doi: 10.1580/1080-6032(2000)011[0196:MIOHAP]2.3.CO;2
7. Shlim DR, Papenfus K. Pulmonary embolism presenting as high-altitude pulmonary edema. Wilderness Environ Med. 1995;6:220-4. doi: 10.1580/1080-6032(1995)006[0220:pepaha]2.3.co;2
8. Goebbels K, Gieseler U, Schoffl V, Kupper T. Cough and dyspnoea of an asthmatic patient at mt. Kilimanjaro: A difficult differential diagnosis. Travel Med Infect Dis. 2010;8:22-8. doi: 10.1016/j.tmaid.2009.11.001
9. Luks AM, McIntosh SE, Grissom CK, Auerbach PS, Rodway GW, Schoene RB, Zafren K, Hackett PH. Wilderness medical society consensus guidelines for the prevention and treatment of acute altitude illness. Wilderness Environ Med. 2010;21:146-55. doi: 10.1016/j.wem.2010.03.002
Национальный центр кардиологии и терапии им. акад. М. Миррахимова, Бишкек, Кыргызская Республика
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A.Sh. Sarybaev, A.M. Maripov, K. Muratali Uulu, M.B. Cholponbaeva, N.A. Kushubakova, A.S. Sydykov
National Center of Cardiology and Internal Medicine, Bishkek, Kyrgyzstan