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Iodinated Contrast Induced Parotitis: A Case Report.

S Nahar¹, N A M Momenuzzaman, A Haque

¹Dr Samsun Nahar, Associate Consultant (Cardiology), United Hospital Limited, Dhaka, Bangladesh;

Mymensingh Medical Journal : MMJ

|June 30, 2024

Summary

This summary is machine-generated.

Iodinated contrast agents used in coronary angiography can lead to parotitis, an inflammation of the salivary glands. This case report details a patient who developed bilateral parotitis after coronary angioplasty, which resolved with conservative management.

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Area of Science:

Cardiology
Radiology
Endocrinology

Background:

Iodinated contrast media are frequently used in cardiovascular imaging procedures.
Parotitis is a known, albeit rare, adverse reaction to iodinated contrast agents.
This case highlights a potential complication following percutaneous coronary intervention (PCI).

Observation:

A 70-year-old male with a history of hypertension, diabetes mellitus, and dyslipidemia presented with chest pain and shortness of breath.
The patient had recently recovered from COVID-19 and had undergone PCI two years prior.
Following coronary angiography, the patient developed bilateral parotitis.

Findings:

Diagnostic workup revealed Non-ST-elevation myocardial infarction (NSTEMI) with impaired left ventricular function (ALVF).
Electrocardiogram showed a bi-fascicular block, and echocardiogram indicated hypokinesis of the inferior and inferior-lateral walls.
High-sensitivity Troponin I levels were elevated, while serum creatinine remained normal.

Implications:

This case underscores the importance of recognizing parotitis as a potential adverse effect of iodinated contrast agents in patients undergoing cardiovascular procedures.
Conservative management was effective in resolving the parotitis, suggesting a possible direct toxicity or idiosyncratic reaction to the contrast material.
Awareness of this complication may aid in timely diagnosis and appropriate patient management, potentially preventing unnecessary interventions.