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Updated: Feb 13, 2026

Preparation and In Vitro Characterization of Dendrimer-based Contrast Agents for Magnetic Resonance Imaging
Published on: December 4, 2016
Fatal anaphylactic reaction to intravenous gadobutrol, a gadolinium-based MRI contrast agent
Sabine Franckenberg1, Florian Berger2, Sarah Schaerli2
1Institute of Diagnostic and Interventional Radiology, University Hospital of Zurich, Raemistrasse 100, 8091 Zurich, Switzerland.
Abstract:
We present the rare case of a fatal anaphylactic reaction to gadobutrol, a magnetic resonance imaging contrast agent, in a 42-year-old man. The patient underwent elective magnetic resonance imaging for diagnostic clarification of a suspicious finding in the abdomen. The patient had undergone contrast-enhanced computed tomography previously without the occurrence of any adverse effects. Adverse drug reactions in gadobutrol have a very low prevalence of 0.32%-3.5%, with serious adverse drug reactions in <0.1%. There are only a few cases of fatal anaphylactoid reactions to gadolinium-based contrast agents in general. However, if an anaphylactoid reaction occurs, it can present itself with a fulminant course within minutes.
Insights
A rare fatal anaphylactic reaction occurred in a patient receiving gadobutrol, a contrast agent for magnetic resonance imaging. This case highlights the potential for severe adverse drug reactions, even with low-prevalence agents.
Area of Science:
- Radiology
- Pharmacology
- Clinical Medicine
Background:
- Gadobutrol is a gadolinium-based contrast agent used in magnetic resonance imaging (MRI).
- Adverse drug reactions to gadobutrol are rare, with a prevalence of 0.32%-3.5% for any reaction and <0.1% for serious reactions.
- Fatal anaphylactoid reactions to gadolinium-based contrast agents are exceptionally uncommon.
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