Case Report

An Uncommon Cause of Shortness of Breath in a Young Puerpera

Table 1

Examples of differential diagnoses for acute postpartum dyspnea.

Differential diagnoses for acute postpartum dyspnea
Conditions associated with pulmonary edemaConditions not associated with pulmonary edema

 Cardiogenic causes Pulmonary embolism
  Peripartum cardiomyopathy Amniotic fluid embolism
  Preeclampsia-induced cardiomyopathy Pneumonia
  Underlying structural heart diseases/valvular heart diseases Infection
sepsis
  Myocardial ischemia Aspiration of gastric content

 Noncardiogenic causes
  Iatrogenic fluid overload
  Thyroid disease
  Drug-induced pulmonary edema
  Acute respiratory distress syndrome (ARDS)
  Preeclampsia-related pulmonary edema
  Rheumatologic conditions (e.g., SLE, vasculitides)