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Nitofurantoin Induced Dress—Rarely Seen and MIMICKS HfPEF

Date: April 22,2022 |Hits: 244 Download PDF How to cite this paper

Parveen Malhotra*, Naveen Malhotra, Vani Malhotra, Rakhee Malhotra, Naman Malhotra, Navya Malhotra, Pranav Malhotra

Department of Medical Gastroenterology, Cardiac Anesthesia, Gynecology & Obstetrics, PGIMS, Rohtak, AAS Hospital, Rohtak, MAMC, Agroha, Haryana and VMCC & HIMSR, New Delhi, India.

*Corresponding author: Parveen Malhotra


Case report: A seventy five year old female was on regular treatment for hypertension and hypothyroidism for last 30 years.  She was treated over a period of six months for recurrent urinary tract infection (U.T.I).  During this period, she had multiple episodes of pulmonary edema which were diagnosed to be due to heart failure with preserved ejection fraction (HfPEF) and was thoroughly investigated but for no relief.  Ultimately, diagnosis of non cardiogenic pulmonary edema due to Nitrofurantoin toxicity was proved and on retrospective and minute analysis, all the varied clinical manifestations and complications like recurrent fever, hyponatremia, lymphadenopathy, alopecia which were thought to be disease related,  turned out to be as side effects of Nitrofurantoin therapy.  Conclusion: One should first rule out common diagnosis and then try to look for other uncommon differential diagnosis, on basis of unexplained biochemical or radiological investigation.  It is duty and responsibility of treating doctors to be fully aware of all the side effects, even rare, of medicines being prescribed by them.


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How to cite this paper

Nitofurantoin Induced Dress—Rarely Seen and MIMICKS HfPEF

How to cite this paper: Parveen Malhotra, Naveen Malhotra, Vani Malhotra, Rakhee Malhotra, Naman Malhotra, Navya Malhotra, Pranav Malhotra. (2022) Nitofurantoin Induced Dress—Rarely Seen and MIMICKS HfPEFInternational Journal of Clinical and Experimental Medicine Research6(2), 187-196.

DOI: http://dx.doi.org/10.26855/ijcemr.2022.04.012

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