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Heart Asia. 2013; 5(1): 126.
Published online 2013 July 4. doi:  10.1136/heartasia-2013-010359
PMCID: PMC4832699

Contrast-induced acute sialadenitis: iodide mumps

An 80-year-old hypertensive woman underwent primary angioplasty for acute posterior wall myocardial infarction. A total of 150 mL of low-osmolar contrast (Ultravist-370; iopromide 0.769 g/mL, 370 mg iodine/mL) was used. Then, 15 h after the procedure, the patient developed painless swelling of both parotid glands (figure 1A). A physical examination showed a patient who was afebrile with normal heart rate and blood pressure. Bilaterally, her parotid glands were diffusely enlarged and were non-tender. Contrast-induced acute sialadenitis (iodide mumps) was confirmed after ultrasonography. She was treated with ibuprofen 800 mg per day. The sialadenitis resolved completely in 3 days (figure 1B). Iodide mumps is a rare, contrast-induced, transient sialadenitis, more commonly affecting the submandibular glands.1 The treatment of choice is non-steroidal anti-inflammatory drugs, resulting in complete resolution in 3–5 days.2

Figure 1
(A) Bilaterally enlarged, non-tender parotid glands (white arrows) 15 h after angioplasty. (B) Complete resolution of parotitis after 3 days.

Footnotes

Contributors: RJ: substantial contributions to conception and design, acquisition of data, or analysis and interpretation of data. BK: drafting the article or revising it critically for important intellectual content. KMN: final approval of the version to be published.

Competing interests: None.

Patient consent: Obtained.

Provenance and peer review: Not commissioned; internally peer reviewed.

References

1. Christensen J. Iodide mumps after intravascular administration of nonionic contrast medium. Acta Radiol 1995;36:82–4. [PubMed]
2. Bohora S, Harikrishnan S, Tharakan J. Iodide mumps. Int J Cardiol 2008;130:82–3. [PubMed]

Articles from Heart Asia are provided here courtesy of BMJ Publishing Group