Open AccessA Case of Alveolar Haemorrhage Induced by Iodinated Contrast Medium Use
Author(s) -
Motoi Ugajin,
Nobuo Ishiguro,
Hisanori Kani,
Hideo Hattori
Publication year - 2020
Publication title -
european journal of case reports in internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
H-Index - 1
ISSN - 2284-2594
DOI - 10.12890/2020_001744
Subject(s) - medicine , iodinated contrast , contrast medium , adverse effect , angiography , percutaneous coronary intervention , radiology , bronchoalveolar lavage , iodinated contrast media , corticosteroid , respiratory failure , surgery , anesthesia , lung , computed tomography , myocardial infarction
An 81-year-old man complaining of exertional dyspnoea underwent coronary angiography using an iodinated contrast medium. After angiography, the patient required systemic corticosteroid therapy because of respiratory failure due to alveolar haemorrhage. Percutaneous coronary intervention was performed 29 days after angiography using the same contrast medium. After the intervention, the patient required intubated mechanical ventilation and renal replacement therapy. Bronchoalveolar lavage was bloody with many haemosiderin-filled macrophages. Systemic corticosteroid therapy again improved his clinical condition. Iodinated contrast media may cause alveolar haemorrhage and re-exposure to contrast media may induce a more severe adverse reaction.