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Acute pulmonary edema induced by non-ionic low-osmolar radiographic contrast media
BACKGROUND: Non-cardiogenic pulmonary edema (NCPE) after intravenous (iv) administration of non-ionic radiocontrast media (RCM) is a rare but life-threatening complication. In a context of emergency, its diagnosis is difficult. CASE REPORT: We report the case of a 55-year-old woman who developed an...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6005305/ https://www.ncbi.nlm.nih.gov/pubmed/29942165 http://dx.doi.org/10.2147/OAEM.S154081 |
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author | Pincet, Laurence Lecca, Gabriele |
author_facet | Pincet, Laurence Lecca, Gabriele |
author_sort | Pincet, Laurence |
collection | PubMed |
description | BACKGROUND: Non-cardiogenic pulmonary edema (NCPE) after intravenous (iv) administration of non-ionic radiocontrast media (RCM) is a rare but life-threatening complication. In a context of emergency, its diagnosis is difficult. CASE REPORT: We report the case of a 55-year-old woman who developed an acute pulmonary edema following iv infusion of non-ionic, low-osmolar RCM during abdominal CT scan. She needed a 24-hour hospitalization in intensive care unit for an acute hypoxemic dyspnea. She was falsely treated at first for an anaphylactic reaction, and then for a cardiac failure. She improved with cortisone and diuretic treatment. CONCLUSION: Although NCPE has been rarely reported after RCM injection, it remains an acute severe complication that has to be considered. The differential diagnosis involves multiple pathogenic patterns giving furthermore complexity in choosing an appropriate treatment. |
format | Online Article Text |
id | pubmed-6005305 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-60053052018-06-25 Acute pulmonary edema induced by non-ionic low-osmolar radiographic contrast media Pincet, Laurence Lecca, Gabriele Open Access Emerg Med Case Report BACKGROUND: Non-cardiogenic pulmonary edema (NCPE) after intravenous (iv) administration of non-ionic radiocontrast media (RCM) is a rare but life-threatening complication. In a context of emergency, its diagnosis is difficult. CASE REPORT: We report the case of a 55-year-old woman who developed an acute pulmonary edema following iv infusion of non-ionic, low-osmolar RCM during abdominal CT scan. She needed a 24-hour hospitalization in intensive care unit for an acute hypoxemic dyspnea. She was falsely treated at first for an anaphylactic reaction, and then for a cardiac failure. She improved with cortisone and diuretic treatment. CONCLUSION: Although NCPE has been rarely reported after RCM injection, it remains an acute severe complication that has to be considered. The differential diagnosis involves multiple pathogenic patterns giving furthermore complexity in choosing an appropriate treatment. Dove Medical Press 2018-06-14 /pmc/articles/PMC6005305/ /pubmed/29942165 http://dx.doi.org/10.2147/OAEM.S154081 Text en © 2018 Pincet and Lecca. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Case Report Pincet, Laurence Lecca, Gabriele Acute pulmonary edema induced by non-ionic low-osmolar radiographic contrast media |
title | Acute pulmonary edema induced by non-ionic low-osmolar radiographic contrast media |
title_full | Acute pulmonary edema induced by non-ionic low-osmolar radiographic contrast media |
title_fullStr | Acute pulmonary edema induced by non-ionic low-osmolar radiographic contrast media |
title_full_unstemmed | Acute pulmonary edema induced by non-ionic low-osmolar radiographic contrast media |
title_short | Acute pulmonary edema induced by non-ionic low-osmolar radiographic contrast media |
title_sort | acute pulmonary edema induced by non-ionic low-osmolar radiographic contrast media |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6005305/ https://www.ncbi.nlm.nih.gov/pubmed/29942165 http://dx.doi.org/10.2147/OAEM.S154081 |
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