No abstract

SummaryTwo cases of meningococcal meningitis complicated by pulmonary oedema are described. The pulmonary arterial wedge pressure was raised in the one case studied.Profound sympathetic over-activity may be the cause of the pulmonary oedema occurring in this situation. If this is so, adrenergic blockade would appear to be a rational approach to therapy. IntroductionAlthough pulmonary oedema is a recognized complication of intracranial lesions, it has only rarely been reported in relation to meningococcal meningitis and in none of these cases were any haemodynamic studies performed.