Severe capillary leak syndrome after inner ear decompression sickness in a recreational scuba diver.
J Emerg Med
; 45(1): 70-3, 2013 Jul.
Article
em En
| MEDLINE
| ID: mdl-23602149
ABSTRACT
BACKGROUND:
Post-decompression shock with plasma volume deficit is a very rare event that has been observed under extreme conditions of hypobaric and hyperbaric exposure in aviators and professional divers. CASE REPORT We report a case of severe hypovolemic shock due to extravasation of plasma in a recreational scuba diver presenting with inner ear decompression sickness. Impaired endothelial function can lead to capillary leak with hemoconcentration and hypotension in severe cases. This report suggests that decompression-induced circulating bubbles may have triggered the endothelial damage, activating the classic inflammatory pathway of increased vascular permeability.CONCLUSION:
This observation highlights the need for an accurate diagnosis of this potentially life-threatening condition at the initial presentation in the Emergency Department after a diving-related injury. An elevated hematocrit in a diver should raise the suspicion for the potential development of capillary leak syndrome requiring specific treatment using albumin infusion as primary fluid replacement.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Plasma
/
Choque
/
Permeabilidade Capilar
/
Síndrome de Vazamento Capilar
/
Doença da Descompressão
/
Doenças do Labirinto
Tipo de estudo:
Etiology_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Emerg Med
Assunto da revista:
MEDICINA DE EMERGENCIA
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
França