Abstract
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.
© 2018 AABB.
MeSH terms
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Adult
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Anemia, Hemolytic / chemically induced*
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Anemia, Hemolytic / complications
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Anemia, Hemolytic / immunology
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Anemia, Hemolytic / therapy
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Antibody Specificity
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Catecholamines / therapeutic use
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Combined Modality Therapy
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Contrast Media / adverse effects*
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Erythrocyte Transfusion
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Female
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Hematuria / diagnostic imaging
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Humans
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Iopamidol / adverse effects
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Iopamidol / analogs & derivatives*
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Iopamidol / immunology
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Ovarian Neoplasms / complications
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Ovarian Neoplasms / surgery
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Postoperative Complications / diagnostic imaging
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Shock / etiology*
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Tomography, X-Ray Computed
Substances
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Catecholamines
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Contrast Media
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iomeprol
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Iopamidol