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Review
. 2018 Sep;58(9):2113-2114.
doi: 10.1111/trf.14786. Epub 2018 Aug 28.

Immune hemolysis secondary to injection of contrast medium

Carole Maurin  1 , Olivia Vassal  1 , Marie Darien  1 , Michel Raba  2 , Bernard Allaouchiche  1 , Vincent Piriou  1
Affiliations
Review

Immune hemolysis secondary to injection of contrast medium

Carole Maurin et al. Transfusion. 2018 Sep.

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.

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