A Case of Alveolar Haemorrhage Induced by Iodinated Contrast Medium Use

Ugajin, Motoi and Ishiguro, Nobuo and Kani, Hisanori and Hattor, Hideo (2020) A Case of Alveolar Haemorrhage Induced by Iodinated Contrast Medium Use. European Journal of Case Reports in Internal Medicine, 7 (9). pp. 1-5. ISSN ISSN: 2284-2594

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Abstract

An 81-year-old man complaining of exertional dyspnoea underwent coronary angiography using an iodinated contrast medium. After angiography, the patient required systemic corticosteroid therapy because of respiratory failure due to alveolar haemorrhage. Percutaneous coronary intervention was performed 29 days after angiography using the same contrast medium. After the intervention, the patient required intubated mechanical ventilation and renal replacement therapy. Bronchoalveolar lavage was bloody with many haemosiderin-filled macrophages. Systemic corticosteroid therapy again improved his clinical condition. Iodinated contrast media may cause alveolar haemorrhage and re-exposure to contrast media may induce a more severe adverse reaction.

Item Type: Article
Uncontrolled Keywords: Iodinated contrast media, alveolar haemorrhage, re-exposure
Subjects: 600 Tecnologia - Scienze applicate
600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici)
600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Marina Spanti
Date Deposited: 15 Dec 2021 13:13
Last Modified: 15 Dec 2021 13:13
URI: http://eprints.bice.rm.cnr.it/id/eprint/20992

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