Lower Respiratory Tract Infection: An Unrecognised Risk Factor for High Altitude Pulmonary Edema?
  • Christopher Paul Humphries
    Norfolk and Norwich University Hospitals, Norwich

Keywords

High Altitude Pulmonary Edema, Oedema, Infection, Respiratory, Risk, Expedition

Abstract

The case of a 25-year-old expedition doctor who developed high altitude pulmonary oedema (HAPE) while climbing in the Swiss Alps is presented, with reference to the literature. The patient’s symptoms of HAPE were typical. Less typical was the fact that the doctor had previously been to similar altitudes uneventfully. The only differentiator is that on this expedition he developed a mild lower respiratory tract infection (LRTI) 2 days prior to travel. There has been limited, conflicting evidence regarding LRTI as a risk factor for HAPE and high quality research has not focused on this area. LRTI is not commonly recognised as being a risk in high altitude environments, which may be resulting in lethal consequences. This report aims to inform, provide a clinical question for future high altitude research expeditions, and encourage consideration by expedition and high altitude doctors.

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    Published: 2017-04-27
    Issue: Vol. 4 No. 3 (view)

    How to cite:
    1.
    Humphries CP. Lower Respiratory Tract Infection: An Unrecognised Risk Factor for High Altitude Pulmonary Edema?. EJCRIM 2017;4 doi:10.12890/2017_000539.