Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Pincet, Laurence, Lecca, Gabriele
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
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
_version_ 1783332668404924416
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
work_keys_str_mv AT pincetlaurence acutepulmonaryedemainducedbynonioniclowosmolarradiographiccontrastmedia
AT leccagabriele acutepulmonaryedemainducedbynonioniclowosmolarradiographiccontrastmedia