Ciencias de la Salud

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“Edema agudo de pulmón secundario a infección por influenza”
(Carrera de Medicina, 2019-06-01) Pérez Plaza, Santiago Andrés; Cruz Castillo, Yessenia Magaly, Dra. Esp.
Pneumonia is pulmonary parenchymal infection, very prevalent and with high morbidity and mortality. This pathology can be typical or atypical. The etiology of pneumonia must be determined. Acute pulmonary edema is an abnormal accumulation of fluid, of rapid development, in pulmonary extravascular components. It can be cardiogenic and non-cardiogenic. We review the non-cardiogenic acute pulmonary edema, which is due to a pulmonary injury. We present the case of an Influenza B infection with pulmonary edema and respiratory system in a 40-year-old male patient, which presents with brown expectoration, thermal rise, odynophagia, dyspnea and myalgias. Presents desaturation, bilateral cottony infiltrates in the imaging tests. A PAFI ratio of 220 mmHg is determined, which indicates an acute respiratory distraction syndrome, which does not require mechanical ventilation. A rapid test is performed that indicates the presence of Influenza B. The treatment used, including antibiotic therapy, antivirals, analgesia, oxygen therapy, beta-2 agonists and anticholinergics was effective, as the patient's clinical picture improved daily. The treatment was in accordance with the bibliographic suggestions investigated.