|
- 2019
Intravenous radiographic contrast administered prior to highKeywords: Methotrexate,intravenous contrast,contrast-induced nephropathy,glucarpidase,acute kidney injury Abstract: Methotrexate is a dihydrofolate reductase inhibitor that interferes with DNA synthesis, DNA repair, and cellular replication. We present the first adult case of a patient who received intravenous contrast prior to administration of high-dose methotrexate, who subsequently experienced delayed methotrexate clearance and renal impairment necessitating the use of glucarpidase. This case displays a possible correlation between intravenous radiographic contrast administration and resulting toxicity due to delayed methotrexate clearance
|