Title |
Acute pulmonary edema induced by non-ionic low-osmolar radiographic contrast media
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Published in |
Open access emergency medicine OAEM, June 2018
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DOI | 10.2147/oaem.s154081 |
Pubmed ID | |
Authors |
Laurence Pincet, Gabriele Lecca |
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. |
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Geographical breakdown
Country | Count | As % |
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Pakistan | 1 | 20% |
United States | 1 | 20% |
Thailand | 1 | 20% |
Unknown | 2 | 40% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 4 | 80% |
Practitioners (doctors, other healthcare professionals) | 1 | 20% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 20 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 3 | 15% |
Student > Ph. D. Student | 2 | 10% |
Lecturer | 1 | 5% |
Student > Doctoral Student | 1 | 5% |
Other | 1 | 5% |
Other | 3 | 15% |
Unknown | 9 | 45% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 6 | 30% |
Nursing and Health Professions | 2 | 10% |
Mathematics | 1 | 5% |
Decision Sciences | 1 | 5% |
Psychology | 1 | 5% |
Other | 0 | 0% |
Unknown | 9 | 45% |