Severe liver and renal injuries following cerebral angiography: late life-threatening complications of non-ionic contrast medium administration

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dc.citation.issue4
dc.citation.volume32
dc.contributor.authorSilva, Paulo Sergio Lucas da [UNIFESP]
dc.contributor.authorKubo, Emerson Yukio [UNIFESP]
dc.contributor.authorFonseca, Marcelo Cunio Machado [UNIFESP]
dc.coverageNew York
dc.date.accessioned2020-07-22T13:23:17Z
dc.date.available2020-07-22T13:23:17Z
dc.date.issued2016
dc.description.abstractContrast-induced nephropathy requiring dialysis support is rarely reported, whereas severe liver injury after contrast agent administration has not been described in children yet. A previously healthy 10-year-old boy with diagnosis of cerebral arteriovenous malformation underwent a cerebral angiogram study with iohexol (3 mL/kg). After 4 days, he developed vomiting and abdominal pain. Laboratory results showed abnormal liver function tests, including marked elevation of transaminases. In the next day, he evolved with oliguria and blood arterial hypertension. At this time, he presented with worsening renal function tests. Peritoneal dialysis was required for 13 days. The patient had a self-limiting course and received only supportive treatment. This report highlights delayed complications related to low non-ionic contrast media with a rare presentation that can be neglected or unrecognized by pediatric specialties.en
dc.description.affiliationUniv Fed Sao Paulo, Hosp Estadual Diadema, Pediat Intens Care Unit, Sao Paulo, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Dept Pediat, Sao Paulo, Brazil
dc.description.affiliationPediat Intens Care Unit, Rua Jose Bonifacio 1641, BR-09980015 Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Pediat, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent733-737
dc.identifierhttp://dx.doi.org/10.1007/s00381-015-2889-x
dc.identifier.citationChilds Nervous System. New York, v. 32, n. 4, p. 733-737, 2016.
dc.identifier.doi10.1007/s00381-015-2889-x
dc.identifier.issn0256-7040
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/56148
dc.identifier.wosWOS:000373299100024
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofChilds Nervous System
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectChildrenen
dc.subjectContrast mediaen
dc.subjectLiveren
dc.subjectRenal failureen
dc.titleSevere liver and renal injuries following cerebral angiography: late life-threatening complications of non-ionic contrast medium administrationen
dc.typeinfo:eu-repo/semantics/article
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