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Contrast medium‐induced transient severe leukopenia

CASE: Contrast medium‐induced transient leukopenia is very rare. Here, we report a case of a 73‐year‐old man diagnosed with contrast media‐induced transient leukopenia. The patient underwent abdominal contrast‐enhanced computed tomography, where he was given non‐ionic iodinated contrast medium i.v....

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Autores principales: Hongo, Takashi, Nozaki, Satoshi, Tsuchiya, Midori, Inaba, Mototaka, Takahashi, Kenji, Fujiwara, Toshifumi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891103/
https://www.ncbi.nlm.nih.gov/pubmed/29657733
http://dx.doi.org/10.1002/ams2.319
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author Hongo, Takashi
Nozaki, Satoshi
Tsuchiya, Midori
Inaba, Mototaka
Takahashi, Kenji
Fujiwara, Toshifumi
author_facet Hongo, Takashi
Nozaki, Satoshi
Tsuchiya, Midori
Inaba, Mototaka
Takahashi, Kenji
Fujiwara, Toshifumi
author_sort Hongo, Takashi
collection PubMed
description CASE: Contrast medium‐induced transient leukopenia is very rare. Here, we report a case of a 73‐year‐old man diagnosed with contrast media‐induced transient leukopenia. The patient underwent abdominal contrast‐enhanced computed tomography, where he was given non‐ionic iodinated contrast medium i.v. His medical history included an allergic reaction to a different contrast medium. One hour later, the patient was admitted to the emergency department complaining of chest discomfort. He had leukopenia and a fever (temperature of 38.9°C). Complete blood count showed a white blood cell count of 930/μL and an absolute neutrophilic count of 232/μL. OUTCOME: The patient was given i.v. antibiotics and 5 mg chlorpheniramine maleic acid, 20 mg famotidine, and 125 mg methylprednisolone. The patient's white blood cell count recovered the next day, and he was discharged after 2 days of hospitalization. CONCLUSION: We diagnosed the patient with contrast media‐induced transient leukopenia, which is a rare phenomenon.
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spelling pubmed-58911032018-04-13 Contrast medium‐induced transient severe leukopenia Hongo, Takashi Nozaki, Satoshi Tsuchiya, Midori Inaba, Mototaka Takahashi, Kenji Fujiwara, Toshifumi Acute Med Surg Case Reports CASE: Contrast medium‐induced transient leukopenia is very rare. Here, we report a case of a 73‐year‐old man diagnosed with contrast media‐induced transient leukopenia. The patient underwent abdominal contrast‐enhanced computed tomography, where he was given non‐ionic iodinated contrast medium i.v. His medical history included an allergic reaction to a different contrast medium. One hour later, the patient was admitted to the emergency department complaining of chest discomfort. He had leukopenia and a fever (temperature of 38.9°C). Complete blood count showed a white blood cell count of 930/μL and an absolute neutrophilic count of 232/μL. OUTCOME: The patient was given i.v. antibiotics and 5 mg chlorpheniramine maleic acid, 20 mg famotidine, and 125 mg methylprednisolone. The patient's white blood cell count recovered the next day, and he was discharged after 2 days of hospitalization. CONCLUSION: We diagnosed the patient with contrast media‐induced transient leukopenia, which is a rare phenomenon. John Wiley and Sons Inc. 2017-10-25 /pmc/articles/PMC5891103/ /pubmed/29657733 http://dx.doi.org/10.1002/ams2.319 Text en © 2017 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Reports
Hongo, Takashi
Nozaki, Satoshi
Tsuchiya, Midori
Inaba, Mototaka
Takahashi, Kenji
Fujiwara, Toshifumi
Contrast medium‐induced transient severe leukopenia
title Contrast medium‐induced transient severe leukopenia
title_full Contrast medium‐induced transient severe leukopenia
title_fullStr Contrast medium‐induced transient severe leukopenia
title_full_unstemmed Contrast medium‐induced transient severe leukopenia
title_short Contrast medium‐induced transient severe leukopenia
title_sort contrast medium‐induced transient severe leukopenia
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891103/
https://www.ncbi.nlm.nih.gov/pubmed/29657733
http://dx.doi.org/10.1002/ams2.319
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