Open AccessContrast medium‐induced transient severe leukopenia
Author(s) -
Hongo Takashi,
Nozaki Satoshi,
Tsuchiya Midori,
Inaba Mototaka,
Takahashi Kenji,
Fujiwara Toshifumi
Publication year - 2018
Publication title -
acute medicine and surgery
Language(s) - English
Resource type - Journals
ISSN - 2052-8817
DOI - 10.1002/ams2.319
Subject(s) - leukopenia , medicine , white blood cell , blood count , contrast medium , gastroenterology , surgery , toxicity , radiology
Case Contrast medium‐induced transient leukopenia is very rare. Here, we report a case of a 73‐year‐old man diagnosed with contrast media‐induced transient leukopenia. The patient underwent abdominal contrast‐enhanced computed tomography, where he was given non‐ionic iodinated contrast medium i.v. His medical history included an allergic reaction to a different contrast medium. One hour later, the patient was admitted to the emergency department complaining of chest discomfort. He had leukopenia and a fever (temperature of 38.9°C). Complete blood count showed a white blood cell count of 930/μL and an absolute neutrophilic count of 232/μL. Outcome The patient was given i.v. antibiotics and 5 mg chlorpheniramine maleic acid, 20 mg famotidine, and 125 mg methylprednisolone. The patient's white blood cell count recovered the next day, and he was discharged after 2 days of hospitalization. Conclusion We diagnosed the patient with contrast media‐induced transient leukopenia, which is a rare phenomenon.