Acute pulmonary edema induced by non-ionic low-osmolar radiographic contrast media.

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Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_D23E50239A49
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Acute pulmonary edema induced by non-ionic low-osmolar radiographic contrast media.
Journal
Open access emergency medicine
Author(s)
Pincet L., Lecca G.
ISSN
1179-1500 (Print)
ISSN-L
1179-1500
Publication state
Published
Issued date
2018
Peer-reviewed
Oui
Volume
10
Pages
75-79
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
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.
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.
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.
Keywords
acute pulmonary edema, adverse reaction, non-cardiogenic pulmonary edema, radiocontrast media
Pubmed
Web of science
Open Access
Yes
Create date
17/08/2018 17:40
Last modification date
20/08/2019 15:52
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