Pulmonary oedema subsequent to radiographic contrast in a computed tomography of the coronary arteries
Plambech, M.; Garvey, L.H.
Ugeskrift for Laeger 174(19): 1316-1317
2012
ISSN/ISBN: 1603-6824 PMID: 22564693 Document Number: 663357
Adverse reactions to radiographic contrast media are relatively rare and occur with a frequency of 0.02-0.04%. We describe a case of isolated pulmonary oedema after computed tomography of the coronary arteries in a 51 year-old man. Initially anaphylaxis was suspected, but due to the clinical picture together with lack of response to treatment with adrenaline and lack of increase in the serum tryptase concentration an IgE mediated mechanism was less likely. The patient responded to non-invasive ventilation over three days. The mechanism behind the reaction is unknown.