Noncardiogenic acute pulmonary edema due to severe hypoglycemia--an old but ignored cause

Am J Emerg Med. 2008 Sep;26(7):839.e3-6. doi: 10.1016/j.ajem.2008.01.037.


We present a rare case of noncardiogenic pulmonary edema (NCPE) associated with sudden coma due to severe hypoglycemia. We suggest that in every case of NCPE associated with coma, a rapid determination of glycemia should be provided because delays in diagnosis can lead to adverse outcome.

Publication types

  • Case Reports

MeSH terms

  • Electrocardiography
  • Glasgow Coma Scale
  • Humans
  • Hypoglycemia / chemically induced
  • Hypoglycemia / complications*
  • Hypoglycemic Agents / adverse effects
  • Insulin / adverse effects
  • Male
  • Middle Aged
  • Pulmonary Edema / diagnosis
  • Pulmonary Edema / etiology*
  • Pulmonary Edema / physiopathology


  • Hypoglycemic Agents
  • Insulin