Acute Submandibular Swelling Complicating Arteriography With Iodide Contrast: A Case Report and Literature Review

Medicine (Baltimore). 2015 Aug;94(33):e1380. doi: 10.1097/MD.0000000000001380.

Abstract

Iodide mumps is an uncommon condition induced by iodide-containing contrast. We present the first reported case of iodide mumps in mainland China, which occurred after carotid artery intervention.The patient, a 65-year-old Chinese male, had a history of dizziness, hypertension, diabetes, and right arm weakness. He had no history of allergies and had never previously received iodide-containing contrast. The patient's kidney function and other laboratory findings were normal. He underwent stenting of the left internal carotid artery (LICA) opening and received approximately 250 mL of a nonionic contrast agent (ioversol). Approximately 5 hours after angioplasty, bilateral local swellings were noted near the mandible; the masses were moderately firm and nontender.Iodide mumps was diagnosed in the patient. Intravenous dexamethasone (10 mg) was administered. The submandibular glands had shrunk by 11 hours after angioplasty, and they gradually became softer. The mandibular salivary glands had completely recovered by 5 days after surgery.Iodide mumps represents a rare late reaction to iodine-containing contrast media. This condition can occur in any patient receiving any iodinated contrast agent and may recur upon repeated exposure, but self-resolution can be expected within 2 weeks. All clinicians who use contrast media or iodide should be aware of this condition.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angiography / adverse effects*
  • Angiography / methods
  • Brain Infarction / diagnosis
  • Brain Infarction / etiology
  • Carotid Stenosis / complications
  • Carotid Stenosis / diagnosis
  • Carotid Stenosis / surgery
  • Contrast Media / administration & dosage
  • Contrast Media / adverse effects
  • Dexamethasone / administration & dosage*
  • Endovascular Procedures / adverse effects*
  • Endovascular Procedures / methods
  • Glucocorticoids / administration & dosage
  • Humans
  • Male
  • Salivary Glands* / diagnostic imaging
  • Salivary Glands* / drug effects
  • Stents
  • Submandibular Gland Diseases* / chemically induced
  • Submandibular Gland Diseases* / diagnosis
  • Submandibular Gland Diseases* / drug therapy
  • Submandibular Gland Diseases* / physiopathology
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Triiodobenzoic Acids* / administration & dosage
  • Triiodobenzoic Acids* / adverse effects
  • Ultrasonography, Doppler, Color

Substances

  • Contrast Media
  • Glucocorticoids
  • Triiodobenzoic Acids
  • Dexamethasone
  • ioversol