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VOLUME 2 , ISSUE 1 ( January-June, 2019 ) > List of Articles


Case of Cardiogenic Lobar Pulmonary Edema

Daya K Jha, Partha B Mukherjee, Muthukrishnan Jayaraman

Keywords : Edema, Pneumonia, Pulmonary edema

Citation Information : Jha DK, Mukherjee PB, Jayaraman M. Case of Cardiogenic Lobar Pulmonary Edema. Journal of Medical Academics 2019; 2 (1):30-32.

DOI: 10.5005/jp-journals-10070-0032

License: CC BY-NC 4.0

Published Online: 01-08-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Introduction: Unilateral pulmonary edema can mimic as pneumonia and is often misdiagnosed. Case description: We describe a case of cardiogenic unilateral lobar pulmonary edema in a HIV infected and diabetic patient without known history of cardiac disease. Conclusion: Rarely, unilateral pulmonary edema can present as a lobar consolidation and be confused with pneumonia. High index of suspicion and response to treatment of heart failure can clinch the diagnosis.

  1. McNinch RW, McNamara MJ. An unusual cause of right upper- and mid-zone infiltrates on chest X-ray. Crit Care Resusc 2007;9:256–258.
  2. Roach JM, Stajduhar KC, Torrington KG, et al. Right upper lobe pulmonary edema. Chest 1993;103:1286–1288. DOI: 10.1378/chest.103.4.1286.
  3. Calenoff L, Kruglik GD, Woodruff A. Unilateral pulmonary edema. Radiology 1978;126:19–24. DOI: 10.1148/126.1.19.
  4. Pandya GJ, Mukhopadhyay A, Ping CA, et al. Unilateral lobar pulmonary edema. JAPI 2012;60:60–62.
  5. Attias D, Mansencal N, Auvert B, et al. Prevalence, characteristics, and outcomes of patients presenting with Cardiogenic unilateral pulmonary edema. Circulation 2010;122:1109–1115. DOI: 10.1161/CIRCULATIONAHA.109.934950.
  6. Bahl OP, Oliver GC, Rockoff SD, et al. Localized unilateral pulmonary edema: An unusual presentation of left heart failure. Chest 1971;60:277. DOI: 10.1378/chest.60.3.277.
  7. Gluecker T, Capasso P, Schnyder P, et al. Clinical and radiologic features of pulmonary edema. Radiographics 1999;19:1507–1533. DOI: 10.1148/radiographics.19.6.g99no211507.
  8. Lesieur O, Lorillard R, Thi HH, et al. Unilateral pulmonary edema complicating mitral regurgitation: diagnosis and demonstration by transesophageal echocardiography. Intensive Care Med 2000 Apr;26:266–270. DOI: 10.1007/s001340051183.
  9. Akiyama K, Suetsugu F, Hidai T, et al. Left-sided unilateral pulmonary edema in postinfarction ventricular septal rupture. Chest 1994;105:1264–1265. DOI: 10.1378/chest.105.4.1264.
  10. Schnyder PA, Sarraj AM, Duvoisin BE, et al. Pulmonary edema associated with mitral regurgitation: prevalence of predominant involvement of the right upper lobe. AJR Am J Roentgenol 1993;161:33–36. DOI: 10.2214/ajr.161.1.8517316.
  11. Dexter EU, Snider JM, Gordon EE, et al. Lobar pulmonary edema due to mitral regurgitation: diagnosis by echocardiography. J Card Surg 1997;12:412–415. DOI: 10.1111/j.1540-8191.1997.tb00161.x.
  12. Vandervliet EMJ, van Tellingen C. Right lower lobe pulmonary edema as a rare sign of left heart failure. Neth Heart J 2006;14:225–228.
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