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Immune hemolysis secondary to injection of contrast medium
Author(s) -
Maurin Carole,
Vassal Olivia,
Darien Marie,
Raba Michel,
Allaouchiche Bernard,
Piriou Vincent
Publication year - 2018
Publication title -
transfusion
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.045
H-Index - 132
eISSN - 1537-2995
pISSN - 0041-1132
DOI - 10.1111/trf.14786
Subject(s) - hemolysis , anemia , medicine , immune system , antibody , hemolytic anemia , drug , contrast medium , anesthesia , immunology , pharmacology , radiology
BACKGROUND Drug‐induced immune hemolytic anemia (DIIHA) is a rare but sometimes severe side effect. CASE REPORT We describe the case of a 32‐year‐old patient who presented a cardiovascular collapse and a severe hemolysis secondary to the injection of iomeprol, a contrast medium, after a carcinologic surgery. RESULTS The evolution was favorable after blood transfusion and short catecholamine support. The biology showed drug‐dependent antibodies after incubation with iomeprol. CONCLUSION This case is the second report of DIIHA with iomeprol.