A Delayed, Unusual Non-Cardiogenic Pulmonary Edema after Intravascular Administration of Non-Ionic, Low Osmolar Radiocontrast Media for Coronary Angiography.
10.4070/kcj.2013.43.7.500
- Author:
Min Ho KANG
1
;
Jong Chun NAH
Author Information
1. Division of Cardiology, Department of Medicine, Seoul Paik Hospital, Inje University School of Medicine, Seoul, Korea. drjcna@nate.com
- Publication Type:Case Report
- Keywords:
Pulmonary edema;
Hypersensitivity;
Contrast media
- MeSH:
Angiography;
Contrast Media;
Coronary Angiography;
Coronary Vessels;
Fever;
Humans;
Hypersensitivity;
Hypersensitivity, Delayed;
Iopamidol;
Male;
Pulmonary Edema
- From:Korean Circulation Journal
2013;43(7):500-503
- CountryRepublic of Korea
- Language:English
-
Abstract:
Non-cardiogenic pulmonary edema (NCPE) is a rare adverse reaction to iodinated radiocontrast media (RCM), in which all previous cases were immediate reactions. A 56-year-old male was given iopamidol, a non-ionic, low osmolar RCM, during coronary artery angiography. He developed pulmonary edema and fever a day after the procedure. Despite diuretic therapy, the patient's pulmonary edema worsened and his high fever persisted. The patient's pulmonary edema was eventually resolved with intravenous steroid treatment. We interpreted the patient's condition as NCPE manifesting as a delayed reaction to RCM. To our knowledge, our case is the first to show NCPE as a delayed hypersensitivity reaction.
