Document Detail


A severe, late reaction to radiological contrast media mimicking a sepsis syndrome.
MedLine Citation:
PMID:  10901937     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An unusual, severe delayed reaction to non-ionic intravenous contrast media was observed. A 44-year-old man underwent a computed tomography scan with non-ionic contrast media. Four hours later the patient collapsed with hypotension and cardiovascular shock. Aggressive management (including inotropic support and fluid resuscitation) was instituted in the intensive care unit. Rigorous imaging and biochemical and microbiological investigation failed to identify a source of this man's circulatory collapse. A rapid recovery ensued and at 3 months follow-up the patient was suffering no residual effects from this event. To our knowledge, this is only the second report of a severe delayed reaction to radiological contrast media and the first that manifested as a prolonged hypotensive syndrome.
Authors:
P R Burton; E Jarmolowski; F Raineri; M D Buist; C H Wriedt
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Australasian radiology     Volume:  43     ISSN:  0004-8461     ISO Abbreviation:  Australas Radiol     Publication Date:  1999 Aug 
Date Detail:
Created Date:  2000-08-10     Completed Date:  2000-08-10     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0047441     Medline TA:  Australas Radiol     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  360-2     Citation Subset:  IM    
Affiliation:
Intensive Care Unit, Dandenong Hospital, Victoria, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Contrast Media / administration & dosage,  adverse effects*
Diagnosis, Differential
Drug Hypersensitivity / complications,  diagnosis*
Humans
Injections, Intravenous
Male
Systemic Inflammatory Response Syndrome / complications,  diagnosis*
Chemical
Reg. No./Substance:
0/Contrast Media

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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