BMJ Case Reports 2012; doi:10.1136/bcr.03.2012.6087
  • Unusual presentation of more common disease/injury

An unusual cause of flash pulmonary oedema

  1. Nivedita D Moulick3
  1. 1Department of Internal Medicine, St Vincent Hospital, Worcester, Massachusetts, USA
  2. 2Department of Internal Medicine, Indraprastha Apollo Hospitals, New Delhi, India
  3. 3Department of Internal Medicine, Lokmanya Tilak Municipal Medical College & Hospital, Mumbai, India
  1. Correspondence to Dr Makardhwaj Sarvadaman Shrivastava, makar_in{at}, makardhwaj.shrivastava{at}

We report a case of young woman who presented with acute cardiogenic pulmonary oedema and respiratory failure. She underwent emergent endotracheal intubation and was transferred to the intensive care unit. She responded to intravenous diuretics and positive pressure ventilation. Subsequent workup revealed that she had Graves’ disease and was in thyrotoxic crisis. Therapy with propranolol and propylthiouracil was instituted to which she showed remarkable improvement.


  • Competing interests None.

  • Patient consent Obtained.

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