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A Case of Anaphylactoid Reaction to Gadolinium Contrast Media and Propranolol Complicated with Acute Respiratory Distress Syndrome (ARDS): A Case Report
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Jung Hyun Kim, Kyung Ho Kim, Hye Cheol Jeong, Eun Kyung Kim, Ji Hyun Lee
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Korean J Crit Care Med. 2012;27(3):187-190.
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DOI: https://doi.org/10.4266/kjccm.2012.27.3.187
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Abstract
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- Anaphylaxis/anaphylactoid reaction is a medical emergency.
In rare cases, acute respiratory distress syndrome (ARDS) can complicate this disorder. This is a case report of an anaphylactoid reaction complicated with ARDS that was successfully treated using extracorporeal membrane oxygenation (ECMO). A 52-year-old female patient developed sudden dyspnea immediately after she received gadolinium contrast injection and 80 mg of oral propranolol. She progressed rapidly to a state of shock and her chest radiograph showed pulmonary edema. The shock and pulmonary edema did not respond to epinephrine or steroid injection.
On the next day, the permeability edema worsened and laboratory test revealed extreme hemoconcentration. The oxygenation goal was not achieved with mechanical ventilation alone, thus ECMO was applied as well. The patient showed clinical improvements on the 3rd day and was weaned from ECMO on the 4th day. She was completely recovered from shock and respiratory distress by day 5. The patient was discharged from hospital without further complications.
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Citations
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- Acute Respiratory Distress Syndrome Due to Gadolinium Administration
Nidhi Gupta, John Davidson, Alex Li Journal of the Intensive Care Society.2013; 14(2): 159. CrossRef
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Amlodipine monotherapy in patients with essential hypertension
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Kyung Soo Kim, Jung Hyun Kim, Hun Kil Lim, Bang Hun Lee, Jung Kyoon Lee
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Korean J Crit Care Med. 1993;8(1):59-63.
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Abstract
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- No abstract available.
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Clinical effects of doxazosin in the treatment of essential hypertension
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Kyung Soo Kim, Jung Hyun Kim, Hun Kil Lim, Bang Hun Lee, Jung Kyoon Lee
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Korean J Crit Care Med. 1993;8(1):21-26.
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Abstract
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- No abstract available.
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Effects of lovastatin on serum lipids of patients with primary hypercholesterolemia
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Kyung Soo Kim, Jung Hyun Kim, Hun Kil Lim, Bang Hun Lee, Jung Kyoon Lee
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Korean J Crit Care Med. 1993;8(1):7-11.
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Abstract
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- No abstract available.
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