No access

Article

Published Online: September 1940

INSULIN SHOCK TREATMENT : Death Due to Pulmonary Gangrene.

WILLIAM FURSTAuthors Info & Affiliations

Publication: American Journal of Psychiatry

Volume 97, Number 2

https://doi.org/10.1176/ajp.97.2.380

Get Access

Abstract

1. A case of acute pulmonary edema occurring during insulin hypoglycemic coma and ending in death five days later from pulmonary gangrene is presented.

2. The acute pulmonary edema may have resulted from:

(a) Hyperadrenalinemia with left ventricular failure.

(b) Disturbance of vasomotor control of the pulmonary vessels centrally or peripherally (neuropathic pulmonary edema).

3. Pulmonary gangrene probably resulted from aspiration of infected material and a fulminating anaerobic infection superimposed upon a subclinical bronchiectasis.

4. Injections of adrenalin during the course of insulin shock therapy is probably inadvisable.

5. Bronchiectasis should be considered a contraindication to insulin shock therapy.

Get full access to this article

View all available purchase options and get full access to this article.

Get Access

Information & Authors

Information

Published In

American Journal of Psychiatry

Volume 97 • Number 2 • September 1940

Pages: 380 - 383

History

Published in print: September 1940

Published online: 1 April 2006

Authors

Affiliations

WILLIAM FURST

The Norristown State Hospital, Norristown, Pennsylvania.

View all articles by this author

Metrics & Citations

Metrics

Citations

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

For more information or tips please see 'Downloading to a citation manager' in the Help menu.

Format	RIS (ProCite, Reference Manager) EndNote BibTex Medlars RefWorks
Direct importt
Citation style
Style

Copy to clipboard
Tips for downloading citations

There are no citations for this item

View Options

Get Access

Login options

Already a subscriber? Access your subscription through your login credentials or your institution for full access to this article.

Personal login Institutional Login Open Athens login

Purchase Options

Purchase this article to access the full text.

PPV Articles - American Journal of Psychiatry

Not a subscriber?

Subscribe Now / Learn More

PsychiatryOnline subscription options offer access to the DSM-5-TR^® library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

INSULIN SHOCK TREATMENT : Death Due to Pulmonary Gangrene.

Abstract

Get full access to this article