Open AccessIntravenous radiocontrast induced anaphylactoid reaction: a rare cause of death
Author(s) -
Shais Jallu,
Mohammad Tahir,
Muhammad Faheem Khan,
Wamiq Banday,
Mufti M Farooqui,
Aleena Shafi Jallu,
Khalid J. Qazi
Publication year - 2009
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr.12.2008.1373
Subject(s) - medicine , iodinated contrast , anaphylaxis , abdomen , pelvis , anesthesia , asystole , computed tomography , radiology , intravenous contrast , surgery , allergy , immunology
Anaphylactoid reaction after the injection of iodinated contrast media can be life threatening. A 23-year-old woman presented to the emergency room with abdominal pain and fever, for couple of days duration. After completion of a computed tomography (CT) scan of the abdomen and pelvis with intravenous contrast, the patient complained of feeling hot and shortness of breath. She became unresponsive, cyanotic, and developed asystole. The patient was successfully intubated without any laryngeal oedema or bronchial spasm. Despite all resuscitation efforts the patient died. The patient had undergone CT scans with contrast three times in the past. An autopsy could not reveal any obvious cause and the serum tryptase concentration was 211 ng/ml (normal <9 ng/ml).