Acute Pneumonitis after instillation of Povidone iodine for Chemical Pleurodesis in Secondary Spontaneous Pneumothorax: A case report

Authors

  • Rejina Shahi Department of Pulmonary, Critical Care and Sleep Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Narendra Bhatta Department of Pulmonary, Critical Care and Sleep Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Deebya Raj Mishra Department of Pulmonary, Critical Care and Sleep Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Avatar Verma Department of Pulmonary, Critical Care and Sleep Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Srijan Katuwal Department of Pulmonary, Critical Care and Sleep Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Sion Hang Limbu Department of Pulmonary, Critical Care and Sleep Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Gunjan Regmi Department of Anaesthesia and Critical Care, Birat Medical College and Teaching Hospital, Biratnagar, Nepal

DOI:

https://doi.org/10.3126/nrj.v1i1.45239

Keywords:

Pleurodesis, Pneumonitis, Pneumothorax, Povidone iodine

Abstract

Secondary spontaneous pneumothorax is common in adult and is often life threatening. Surgical intervention is preferred, however chemical pleurodesis is also widely recommended in the treatment of recurrent pneumothorax of different etiologies. Variety of agents such as erythromycin, tetracycline, autologous blood and talc slurry are available for chemical pleurodesis among which povidone iodine is cheap, easily available, effective and safe. In this paper, we report the case of acute pneumonitis after pleurodesis using povidone iodine in a 33 years old female with a known case of lymphangioleiomyomatosis with a history of recurrent pneumothorax.

Chemical pleurodesis was performed using povidone iodine after complete expansion of lung and absence of persistent air leak which was confirmed clinically and radiologically. Post procedure, the patient complained of right sided chest pain and cough. Fever, sputum production and shortness of breath was absent. Chest X-ray revealed new consolidation and infiltrations in the right middle zone. Subsequent CT chest showed extensive parenchymal consolidation and ground glass opacities in the right middle lobe, representing pneumonia with acute lung injury.

The acute pneumonitis spontaneously resolved with supportive care and the patient was discharged after seven days. Though drug induced pneumonitis is not a usual complication of povidone iodine, it is a possibility and has to be considered.

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Published

2022-05-23

How to Cite

Shahi, R., Bhatta, N., Mishra, D. R., Verma, A., Katuwal, S., Limbu, S. H., & Regmi, G. (2022). Acute Pneumonitis after instillation of Povidone iodine for Chemical Pleurodesis in Secondary Spontaneous Pneumothorax: A case report. Nepalese Respiratory Journal, 1(1), 19–21. https://doi.org/10.3126/nrj.v1i1.45239

Issue

Section

Case Reports