A Case of Ritodrine-Induced Pulmonary Edema Improved by Noninvasive Positive Pressure Ventilation

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  • Iida Yuko
    Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine
  • Gon Yasuhiro
    Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine
  • Hagiwara Eri
    Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine
  • Ishiwatari Yusaku
    Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine
  • Oki Takashi
    Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine
  • Shimizu Tetsuo
    Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine
  • Mizumura Kenji
    Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine
  • Maruoka Shuichiro
    Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine
  • Morisawa Tomoko
    Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine
  • Takahashi Noriaki
    Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine
  • Hashimoto Shu
    Division of Respiratory Medicine, Department of Internal Medicine, Nihon University School of Medicine

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Other Title
  • 非侵襲的陽圧換気で改善した塩酸リトドリン誘発性肺水腫の一例
  • 症例報告 非侵襲的陽圧換気で改善した塩酸リトドリン誘発性肺水腫の一例
  • ショウレイ ホウコク ヒシンシュウテキ ヨウアツ カンキ デ カイゼン シタ エンサン リトドリン ユウハツセイ ハイ スイシュ ノ イチレイ

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Abstract

We experienced a patient with pulmonary edema caused by treatment with ritodrine. A 40-year-old pregnant woman had been treated with intravenous ritodrine to prevent premature uterine contraction. After 24 hours, she complained of acute dyspnea. Chest X-ray showed a butterfly shadow and bilateral effusion. We considered pulmonary edema associated with ritodrine, because the dyspnea had developed just after taking the medication and no other causes were evident. As there was the risk of progression to respiratory failure, caesarean section was performed. After surgery, the respiratory failure progressed, which we managed successfully with noninvasive positive pressure ventilation (NPPV).

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