Al Ghailani Hajar H, Al Alawi Abdullah M, Al Hashim Abdul Hakeem
Medicine, Oman Medical Speciality Board, Muscat, OMN.
Medicine, Sultan Qaboos University Hospital, Muscat, OMN.
Cureus. 2021 Apr 16;13(4):e14522. doi: 10.7759/cureus.14522.
Drug-induced immune hemolytic anemia (DIIHA) is a rare type of immune-mediated hemolytic anemia, and mainly it is caused by antibiotics. There have been few case reports of contrast medium-induced immune hemolytic anemia. Here, we report a case of a 70-year-old woman who was admitted with community-acquired pneumonia. She had a CT abdomen and pelvis using iohexol (omnipaque), which resulted in severe hemolytic anemia and contributed to the patient's death. This case illustrates a very rare complication of IV contrast medium that may result in death.
药物性免疫性溶血性贫血（DIIHA）是一种罕见的免疫介导性溶血性贫血，主要由抗生素引起。关于造影剂诱发免疫性溶血性贫血的病例报告很少。在此，我们报告一例70岁女性患者，因社区获得性肺炎入院。她接受了使用碘海醇（欧乃派克）的腹部和盆腔CT检查，结果导致严重溶血性贫血并最终导致患者死亡。该病例说明了静脉造影剂一种非常罕见的并发症，可能会导致死亡。
