Delayed severe anaphylactoid reaction following retrograde pyelogram: A case report

Retrograde pyelography is used to evaluate upper collecting system in patients with hematuria who have contrast allergy. Reported here is a patient who developed severe, late-onset anaphylactoid reaction after retrograde pyelography. Premedication is commonly used to reduce risk of allergic reaction...

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Detalles Bibliográficos
Autores principales: Pooli, Aydin, Brush, Thomas, Belle, Joshua D, LaGrange, Chad A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5718306/
https://www.ncbi.nlm.nih.gov/pubmed/29230290
http://dx.doi.org/10.1177/2050313X17745212
Descripción
Sumario:Retrograde pyelography is used to evaluate upper collecting system in patients with hematuria who have contrast allergy. Reported here is a patient who developed severe, late-onset anaphylactoid reaction after retrograde pyelography. Premedication is commonly used to reduce risk of allergic reaction but has limited evidence to support its efficacy. Caution should be used when evaluating microhematuria with retrograde pyelography in patients with prior anaphylactoid reaction to intravenous contrast.

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