Abstract
Two cases of meningococcal meningitis complicated by pulmonary oedema are described. The pulmonary arterial wedge pressure was raised in the one case studied. Profound sympathetic over-activity may be the cause of the pulmonary oedema occurring in this situation. If this is so, adrenergic blockade would appear to be a rational approach to therapy.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- CAMERON G. R. Pulmonary oedema. Br Med J. 1948 May 22;1(4559):965–972. doi: 10.1136/bmj.1.4559.965. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ducker T. B., Simmons R. L., Martin A. M., Jr Pulmonary edema as a complication of intracranial disease. Am J Dis Child. 1969 Oct;118(4):638–641. doi: 10.1001/archpedi.1969.02100040640020. [DOI] [PubMed] [Google Scholar]
- Hardman J. M., Earle K. M. Meningococcal infections: a review of 200 fatal cases. J Neuropathol Exp Neurol. 1967 Jan;26(1):119–119. [PubMed] [Google Scholar]
- KANTER D. M., LEARNER N., MAURIELLO D. A. Acute meningococcemia with vascular collapse: an analysis of 10 recently treated cases. Am J Med Sci. 1956 Dec;232(6):674–687. doi: 10.1097/00000441-195612000-00008. [DOI] [PubMed] [Google Scholar]
- Levin S., Painter M. B. The treatment of acute meningococcal infection in adults. A reappraisal. Ann Intern Med. 1966 May;64(5):1049–1056. doi: 10.7326/0003-4819-64-5-1049. [DOI] [PubMed] [Google Scholar]
- Luisada A. A. Mechanism of neurogenic pulmonary edema. Am J Cardiol. 1967 Jul;20(1):66–68. doi: 10.1016/0002-9149(67)90111-7. [DOI] [PubMed] [Google Scholar]
- SARNOFF S. J., SARNOFF L. C. Neurohemodynamics of pulmonary edema. II. The role of sympathetic pathways in the elevation of pulmonary and stemic vascular pressures following the intracisternal injection of fibrin. Circulation. 1952 Jul;6(1):51–62. doi: 10.1161/01.cir.6.1.51. [DOI] [PubMed] [Google Scholar]
- URABE M., SEGAWA Y., TSUBOKAWA T., YAMAMOTO K., ARAKI K., IZUMI K. Pathogenesis of the acute pulmonary edema occurring after brain operation and brain trauma. Jpn Heart J. 1961 Apr;2:147–169. doi: 10.1536/ihj.2.147. [DOI] [PubMed] [Google Scholar]
- Worthen M., Argano B., Siwadlowski W., Bruce D. W., MacCanon D. M., Luisada A. A. Mechanisms of intracisternal veratrine pulmonary edema. Dis Chest. 1969 Jan;55(1):45–48. doi: 10.1016/s0096-0217(15)31338-8. [DOI] [PubMed] [Google Scholar]