A Delayed, Unusual Non-Cardiogenic Pulmonary Edema after Intravascular Administration of Non-Ionic, Low Osmolar Radiocontrast Media for Coronary Angiography
نویسندگان
چکیده
Non-cardiogenic pulmonary edema (NCPE) is a rare adverse reaction to iodinated radiocontrast media (RCM), in which all previous cases were immediate reactions. A 56-year-old male was given iopamidol, a non-ionic, low osmolar RCM, during coronary artery angiography. He developed pulmonary edema and fever a day after the procedure. Despite diuretic therapy, the patient's pulmonary edema worsened and his high fever persisted. The patient's pulmonary edema was eventually resolved with intravenous steroid treatment. We interpreted the patient's condition as NCPE manifesting as a delayed reaction to RCM. To our knowledge, our case is the first to show NCPE as a delayed hypersensitivity reaction.
منابع مشابه
Extensive idiosyncratic allergic reaction to non-ionic, low osmolar small dose contrast in a patient premedicated with antihistamine and steroids.
To cite: Vasavada A, Agrawal N, Parekh P, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-205323 DESCRIPTION Allergic response to iodinated contrast agents is a rare occurrence and is even rarer in non-ionic and low osmolar contrast agents. We present an interesting case of an elderly hypertensive man with New York Heart Association (NYHA) class III a...
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