Radiocontrast-Diatrozate and Iopromide-Induced Severe Hypocalcemia Leading to Painful Tetanic and Severe Laryngeal Spasm: A Near Fatal Encounter

Routinely advised radiological investigations like contrast-enhanced scans can have adverse effects on electrolyte imbalance due to the administration of Radiocontrast. Urograffin (Diatrizoate) and Ultravist (Iopromide) are some of the common examples of contrasts given to patients that possibly led to chelation of the calcium in serum causing severe carpopedal spasms and painful muscular tetany in our patient. Here we report a case of a 32-year-old female patient with acute gastroenteritis who presented with complaints of pain in the abdomen, multiple episodes of vomiting, and loose stools underwent contrast-enhanced computed tomography (CECT) scan of the abdomen, and developed severe painful muscular tetanic spasms after intravenous and oral contrast was administered.