title: [Pulmonary oedema subsequent to radiographic contrast in a computed tomography of the coronary arteries].
abstract: 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.
authors.affiliation: Anæstesi, Holbæk Sygehus, Smedelundsgade 60, 4300 Holbæk, Denmark. jelimogi@city.dk
authors.forename: Morten
authors.initials: M
authors.lastname: Plambech
authors.forename: Lene Heise
authors.initials: LH
authors.lastname: Garvey
mesh_terms: D003287:Contrast Media / Q000008:administration & dosage / Q000009:adverse effects*; D017023:Coronary Angiography / Q000009:adverse effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D011654:Pulmonary Edema / Q000000981:diagnostic imaging / Q000209:etiology*; D014283:Triiodobenzoic Acids / Q000008:administration & dosage / Q000009:adverse effects*
chemical_list: D003287:Contrast Media; D014283:Triiodobenzoic Acids; C044834:iodixanol