Delayed severe anaphylactoid reaction following retrograde pyelogram: A case report

Retrograde pyelography is used to evaluate upper collecting system in patients with hematuria who have contrast allergy. Reported here is a patient who developed severe, late-onset anaphylactoid reaction after retrograde pyelography. Premedication is commonly used to reduce risk of allergic reaction...

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Main Authors: Aydin Pooli, Thomas Brush, Joshua D Belle, Chad A LaGrange
Format: Article
Language:English
Published: SAGE Publishing 2017-11-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X17745212
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spelling doaj-8ed08a3fd1194f3fa4f304059f365ad12020-11-25T02:34:09ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2017-11-01510.1177/2050313X17745212Delayed severe anaphylactoid reaction following retrograde pyelogram: A case reportAydin Pooli0Thomas Brush1Joshua D Belle2Chad A LaGrange3Division of Urology, University of Nebraska Medical Center, Omaha, NE, USADepartment of Urology, Creighton University School of Medicine, Omaha, NE, USADivision of Urology, University of Nebraska Medical Center, Omaha, NE, USADivision of Urology, University of Nebraska Medical Center, Omaha, NE, USARetrograde pyelography is used to evaluate upper collecting system in patients with hematuria who have contrast allergy. Reported here is a patient who developed severe, late-onset anaphylactoid reaction after retrograde pyelography. Premedication is commonly used to reduce risk of allergic reaction but has limited evidence to support its efficacy. Caution should be used when evaluating microhematuria with retrograde pyelography in patients with prior anaphylactoid reaction to intravenous contrast.https://doi.org/10.1177/2050313X17745212
collection DOAJ
language English
format Article
sources DOAJ
author Aydin Pooli
Thomas Brush
Joshua D Belle
Chad A LaGrange
spellingShingle Aydin Pooli
Thomas Brush
Joshua D Belle
Chad A LaGrange
Delayed severe anaphylactoid reaction following retrograde pyelogram: A case report
SAGE Open Medical Case Reports
author_facet Aydin Pooli
Thomas Brush
Joshua D Belle
Chad A LaGrange
author_sort Aydin Pooli
title Delayed severe anaphylactoid reaction following retrograde pyelogram: A case report
title_short Delayed severe anaphylactoid reaction following retrograde pyelogram: A case report
title_full Delayed severe anaphylactoid reaction following retrograde pyelogram: A case report
title_fullStr Delayed severe anaphylactoid reaction following retrograde pyelogram: A case report
title_full_unstemmed Delayed severe anaphylactoid reaction following retrograde pyelogram: A case report
title_sort delayed severe anaphylactoid reaction following retrograde pyelogram: a case report
publisher SAGE Publishing
series SAGE Open Medical Case Reports
issn 2050-313X
publishDate 2017-11-01
description Retrograde pyelography is used to evaluate upper collecting system in patients with hematuria who have contrast allergy. Reported here is a patient who developed severe, late-onset anaphylactoid reaction after retrograde pyelography. Premedication is commonly used to reduce risk of allergic reaction but has limited evidence to support its efficacy. Caution should be used when evaluating microhematuria with retrograde pyelography in patients with prior anaphylactoid reaction to intravenous contrast.
url https://doi.org/10.1177/2050313X17745212
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AT joshuadbelle delayedsevereanaphylactoidreactionfollowingretrogradepyelogramacasereport
AT chadalagrange delayedsevereanaphylactoidreactionfollowingretrogradepyelogramacasereport
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