An Uncommon Case of Fluid Retention Simulating a Congestive Heart Failure after Aspirin Consumption

Manfredini, Roberto MD
Ricci, Luciano MD
Giganti, Melchiore MD
la Cecilia, Olga MD

From the First Institute of Internal Medicine (rm, oc, hka, fc), Nuclear Medicine (mgi), and Second Institute of Internal Medicine (mga), Department of Clinical and Experimental Medicine, University of Ferrara School of Medicine; and Emergency Department, St Anna Hospital (lr), Ferrara, Italy.

This work was supported by an educational grant (MURST 60%) to the University of Ferrara, Italy.

Submitted September 21, 1999; accepted in revised form January 7, 2000.

Correspondence: Roberto Manfredini, M.D., First Institute of Internal Medicine, Department of Clinical and Experimental Medicine, University of Ferrara School of Medicine, via Savonarola 9, I-44100 Ferrara, Italy (E-mail: [email protected])

American Journal of the Medical Sciences 320(1):p 72-74, July 2000.

Nonsteroidal anti-inflammatory drugs are widely used and relatively safe medications. We report here an uncommon case of fluid retention simulating acute congestive heart failure, secondary to aspirin consumption, promptly reversible after discontinuation of therapy, and triggered again by pharmacological challenge test.