Recurrent shock and pulmonary edema due to acetazolamide medication after cataract surgery

Heart Lung. 2014 Mar-Apr;43(2):124-6. doi: 10.1016/j.hrtlng.2013.11.008. Epub 2013 Dec 31.

Abstract

Objective: We report a patient with recurrent shock and transient non-cardiogenic pulmonary edema within a period of two months - every time occurring after cataract surgery and a single oral dose of standard post-operative medication with acetazolamide.

Data sources: Records of the intensive care unit, review of the literature.

Conclusions: This case demonstrates a rare but severe side effect of acetazolamide. We also present a review of the literature to raise the awareness of health care providers for this special form of non-cardiogenic pulmonary edema.

Keywords: Acetazolamide; Cataract surgery; Diamox; Pulmonary edema; Shock; Side effects.

Publication types

  • Case Reports

MeSH terms

  • Acetazolamide / administration & dosage
  • Acetazolamide / adverse effects*
  • Aged
  • Carbonic Anhydrase Inhibitors / administration & dosage
  • Carbonic Anhydrase Inhibitors / adverse effects*
  • Cataract Extraction*
  • Humans
  • Male
  • Ocular Hypertension / prevention & control
  • Postoperative Complications / prevention & control
  • Pulmonary Edema / chemically induced*
  • Shock / chemically induced*

Substances

  • Carbonic Anhydrase Inhibitors
  • Acetazolamide