Diffuse alveolar hemorrhage after gadolinium injection during a MRI

Lise Bertin; Henri Guillet; Khouloud Aloui; Valentine Bonnefoy; Constance Guillaud; Georgeta Dubos-Lascu; Issa Souare; Lucas Gohier; Mehdi Khellaf

doi:10.1016/j.rmcr.2020.101021

Diffuse alveolar hemorrhage after gadolinium injection during a MRI

Respir Med Case Rep. 2020 Feb 6:29:101021. doi: 10.1016/j.rmcr.2020.101021. eCollection 2020.

Authors

Lise Bertin¹, Henri Guillet¹, Khouloud Aloui², Valentine Bonnefoy³, Constance Guillaud¹, Georgeta Dubos-Lascu¹, Issa Souare¹, Lucas Gohier¹, Mehdi Khellaf^{1

2}

Affiliations

¹ Service du département d'aval des urgences, Hôpital Henri Mondor, AP HP, 94000, Créteil, France.
² Service des urgences (SAU), Hôpital Henri Mondor, AP HP, 94000, Créteil, France.
³ Service de pneumologie, Hôpital Henri Mondor, AP HP, 94000, Créteil, France.

Abstract

Gadolinium is a frequently used contrast product for MRI exam. It is well known to be less immuno-reactive than iodine used in tomodensitometry but is safety is not completely exempt of secondary effect. Here we report one case of acute interstitial pulmonary toxicity due to gadolinium. After quick elimination of others possible diagnosis and broncho-alveolar lavage we establish the link between acute intra-alveolar hemorrhage and gadolinium injection.

Keywords: Drug induced toxicity; Gadolinium; Intra-alveolar hemorrhage.

Publication types

Case Reports