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Iodide-induced sialadenitis complicating coronary angiography
Ronen Ben-Ami1, David Zeltser, Itzhak Herz
1Internal Medicine D, Souraski Tel Aviv Medical Center, Tel Aviv, Israel. rbenami1@zahav.net.il
Summary
Iodide-induced sialadenitis is a rare complication after coronary angiography using iodinated contrast media. While the cause is unclear, this condition typically resolves with conservative treatment and may recur.
Area of Science:
- Radiology
- Clinical Medicine
Background:
- Sialadenitis, inflammation of salivary glands, is an uncommon adverse event following intravenous administration of iodinated contrast media.
- Coronary angiography frequently utilizes these contrast agents, necessitating awareness of potential complications.
Observation:
- This report details two cases of sialadenitis occurring after coronary angiography.
- The observed sialadenitis was attributed to iodide exposure from the contrast medium.
Findings:
- Clinical features distinguishing iodide-induced sialadenitis from infectious (suppurative) sialadenitis are presented.
- The underlying mechanism for this aseptic sialadenitis remains undetermined.
- Prognosis appears favorable with conservative management strategies.
Implications:
- Healthcare providers should consider iodide-induced sialadenitis in patients presenting with salivary gland swelling post-angiography.
- Recurrence is possible with repeated exposure to iodinated contrast media, highlighting the need for careful patient selection and monitoring.