Skip to main content

Main menu

  • Home
  • Content
    • Current Issue
    • Ahead of Print
    • Past Issues
    • Supplements
    • Article Type
  • Specialty
    • Articles by Specialty
  • CME/MOC
    • Articles
    • Calendar
  • Info For
    • Manuscript Submission
    • Authors & Reviewers
    • Subscriptions
    • About CCJM
    • Contact Us
    • Media Kit
  • Conversations with Leaders
  • Conference Coverage
    • Kidney Week 2024
    • CHEST 2024
    • ACR Convergence 2023
    • Kidney Week 2023
    • ObesityWeek 2023
    • IDWeek 2023
    • CHEST 2023
    • MDS 2023
    • IAS 2023
    • ACP 2023
    • AAN 2023
    • ACC / WCC 2023
    • AAAAI Meeting 2023
    • ACR Convergence 2022
    • Kidney Week 2022
    • AIDS 2022
  • Other Publications
    • www.clevelandclinic.org

User menu

  • Register
  • Log in

Search

  • Advanced search
Cleveland Clinic Journal of Medicine
  • Other Publications
    • www.clevelandclinic.org
  • Register
  • Log in
Cleveland Clinic Journal of Medicine

Advanced Search

  • Home
  • Content
    • Current Issue
    • Ahead of Print
    • Past Issues
    • Supplements
    • Article Type
  • Specialty
    • Articles by Specialty
  • CME/MOC
    • Articles
    • Calendar
  • Info For
    • Manuscript Submission
    • Authors & Reviewers
    • Subscriptions
    • About CCJM
    • Contact Us
    • Media Kit
  • Conversations with Leaders
  • Conference Coverage
    • Kidney Week 2024
    • CHEST 2024
    • ACR Convergence 2023
    • Kidney Week 2023
    • ObesityWeek 2023
    • IDWeek 2023
    • CHEST 2023
    • MDS 2023
    • IAS 2023
    • ACP 2023
    • AAN 2023
    • ACC / WCC 2023
    • AAAAI Meeting 2023
    • ACR Convergence 2022
    • Kidney Week 2022
    • AIDS 2022
Letter to the Editor

Unilateral pulmonary edema

Abraham Joseph, MBBS, MD and Jonathan Rohde, DNP, MSN, APRN, CNP
Cleveland Clinic Journal of Medicine June 2022, 89 (6) 328; DOI: https://doi.org/10.3949/ccjm.89c.06001
Abraham Joseph
Department of Internal Medicine, Mayo Clinic Health System, Fairmont, MN
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jonathan Rohde
Department of Internal Medicine Mayo Clinic Health System, Fairmont, MN
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
  • PDF
Loading

To the Editor: We appreciate the article, “Unilateral pulmonary edema,” by Harano and Nakajima in the March issue (Harano Y, Nakajima M. Unilateral pulmonary edema. Cleve Clin J Med 2022; 89(3):124–125. doi:10.3949/ccjm.89a.21046).1 It was a very interesting discussion of the potential manifestations of unilateral pulmonary edema after COVID-19 infection. One key aspect we would like to bring to the discussion is to include multisystem inflammatory syndrome in adults (MIS-A) in the differential diagnosis. The evaluation includes fever at or before presentation, severe cardiac illness, rash with nonpurulent conjunctivitis, abdominal pain, vomiting, diarrhea, and thrombocytopenia. The recommended laboratory evaluation includes C-reactive protein, ferritin, interleukin-6, erythrocyte sedimentation rate, and procalcitonin.2 If indeed the patient had MIS-A, the treatment would have included steroids, intravenous immunoglobulin, and supportive care.3 The reason to include this in the differential is that the therapy required for the treatment of MIS-A is different than what was discussed. Given the emergence of MIS-A with COVID-19, healthcare providers would benefit from further discussion to ensure this diagnosis is contemplated especially in the 2 to 12 weeks after diagnosis of COVID-19. The patient presented by Harano and Nakajima met the criteria for severe cardiac illness, and further discussion regarding the above evaluation would be useful to know if this diagnosis was considered, because treatment would have included those we mentioned above.

  • Copyright © 2022 The Cleveland Clinic Foundation. All Rights Reserved.

REFERENCES

  1. ↵
    1. Harano Y,
    2. Nakajima M
    . Unilateral pulmonary edema. Cleve Clin J Med 2022; 89(3):124–125. doi:10.3949/ccjm.89a.21046
    OpenUrlFREE Full Text
  2. ↵
    Multisystem inflammatory syndrome in adults (MIS-A) case definition information for healthcare providers. https://www.cdc.gov/mis/index.html. Accessed May 23, 2022.
  3. ↵
    1. Ahmad F,
    2. Ahmed A,
    3. Rajendraprasad S, et al
    . Multisystem inflammatory syndrome in adults: a rare sequela of SARS-CoV-2 infection. Int J Infect Dis 2021; 108:209–211. doi.org/10.1016/j.ijid.2021.05.050
    OpenUrlPubMed
PreviousNext
Back to top

In this issue

Cleveland Clinic Journal of Medicine: 89 (6)
Cleveland Clinic Journal of Medicine
Vol. 89, Issue 6
1 Jun 2022
  • Table of Contents
  • Table of Contents (PDF)
  • Index by author
  • Complete Issue (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on Cleveland Clinic Journal of Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Unilateral pulmonary edema
(Your Name) has sent you a message from Cleveland Clinic Journal of Medicine
(Your Name) thought you would like to see the Cleveland Clinic Journal of Medicine web site.
CAPTCHA
Please verify that you are a real person.
Citation Tools
Unilateral pulmonary edema
Abraham Joseph, Jonathan Rohde
Cleveland Clinic Journal of Medicine Jun 2022, 89 (6) 328; DOI: 10.3949/ccjm.89c.06001

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Unilateral pulmonary edema
Abraham Joseph, Jonathan Rohde
Cleveland Clinic Journal of Medicine Jun 2022, 89 (6) 328; DOI: 10.3949/ccjm.89c.06001
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget

Jump to section

  • Article
    • REFERENCES
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • In Reply: Most elderly patients with subclinical hypothyroidism do not need to be treated
  • Managing right ventricular failure in the setting of pulmonary embolism
  • In Reply: Managing right ventricular failure in the setting of pulmonary embolism
Show more Letter to the Editor

Similar Articles

Subjects

  • Cardiology
  • Imaging
  • Pulmonology

Navigate

  • Current Issue
  • Past Issues
  • Supplements
  • Article Type
  • Specialty
  • CME/MOC Articles
  • CME/MOC Calendar
  • Media Kit

Authors & Reviewers

  • Manuscript Submission
  • Authors & Reviewers
  • Subscriptions
  • About CCJM
  • Contact Us
  • Cleveland Clinic Center for Continuing Education
  • Consult QD

Share your suggestions!

Copyright © 2025 The Cleveland Clinic Foundation. All rights reserved. The information provided is for educational purposes only. Use of this website is subject to the website terms of use and privacy policy. 

Powered by HighWire