6533b821fe1ef96bd127c474

RESEARCH PRODUCT

A strange pneumonia

Salvatore NovoAssennato PasqualeA RotoloMarco GuglielmoSalvatore EvolaMichele PilatoAntonino MignanoSergio SciaccaRiccardo Di MiceliNovo Giuseppina

subject

Malemedicine.medical_specialtyPulmonary Edema030204 cardiovascular system & hematologyPulmonary oedemaDiagnosis Differential03 medical and health sciences0302 clinical medicineInternal medicinemedicineHumanspneumoniaMyocardial infarctionNon-ST Elevated Myocardial InfarctionPapillary muscleMitral regurgitationLungbusiness.industryRare entityGeneral MedicineMiddle Agedmedicine.diseaseSettore MED/11 - Malattie Dell'Apparato CardiovascolareMyocardial infarctionPneumoniamedicine.anatomical_structureIncreased risk030228 respiratory systemCardiologyCardiology and Cardiovascular Medicinebusiness

description

We report the case of a 62-year-old man with non-ST elevation myocardial infarction complicated by partial rupture of the antero-lateral papillary muscle in which severe mitral regurgitation with lateralized direction towards the right pulmonary veins gave unilateral pulmonary oedema, resembling an acute pneumonia.Unilateral pulmonary oedema is a rare entity, more frequently appearing as opacity of the right lung and always associated with severe mitral regurgitation. It is very important to suspect and promptly recognize unilateral pulmonary oedema because initial misdiagnosis leads to a delay in the initiation of appropriate treatment and to an increased risk of mortality.

https://doi.org/10.2459/jcm.0b013e32836201a6