INSUFFISANCE RÉNALE AIGUE ET MÉNINGO-ENCÉPHALITES DES PRODUITS DE CONTRASTE IODÉS

Objective : The aim of this work is to report the cases of iatrogenic acute renal failure which has occurred after emergency realization of a cerebral scanner, with injection of iodinated contrast product at patients contracted by the meningoencephalitis. Material and methods : This prospective work was realised in a medical intensive care unit between january 2002 and december 2008. The criterion of principal judgement was the creatinin rate variations (> 25% of its basic value) in the three weeks after a cerebral scanner with injection of iodinated contrast product at patients contracted by the meningoencephalitis. Results : Eight patients were included among 360 meningoencephalitis cases corresponding to an incidence of 2,2%. The middle age was 43 ± 17 years. The average time of appearance of the acute renal failure was 43 ± 17 hours, with an average creatininemia of 66,8 ± 37mg/l. three patients died. Conclusion : The incidence of this undesirable event remains weak but deserves an special attention. An adequate rehydration, before all using of the cerebral scanner with injection, should be realized for any patient presenting a meningoencephalitis.