A hitherto unreported pulmonary complication in an IV heroin user Journal Article
| Authors: | Bishay, A.; Amchentsev, A.; Saleh, A.; Patel, N.; Travis, W.; Raoof, S. |
| Article Title: | A hitherto unreported pulmonary complication in an IV heroin user |
| Abstract: | IV heroin use is associated with several well-described complications, including noncardiogenic pulmonary edema, aspiration pneumonitis, ARDS, pneumonia, lung abscess, septic pulmonary emboli, and atelectasis. Foreign-body granulomatosis may develop when drug users inject solutions containing crushed oral tablets in which talc is used as filler and can be complicated by pulmonary fibrosis. The effects are distinct from pulmonary edema, which may occur acutely with heroin injection. We describe the case of a young female patient who was an IV heroin user who also smoked cigarettes, and presented with progressive dyspnea, hypoxia, and bilateral lung infiltrates. The final pathologic diagnosis in this case was one that had not been previously reported in IV heroin users. |
| Keywords: | adult; histopathology; case report; cigarette smoking; computer assisted tomography; tomography, x-ray computed; dyspnea; hypoxia; depression; atelectasis; interstitial lung disease; physical examination; methadone; drug abuse; cotrimoxazole; lung fibrosis; fluoxetine; lung infiltrate; aspiration pneumonia; diamorphine; adult respiratory distress syndrome; lung complication; trazodone; lung edema; bronchiolitis obliterans; lung pathology; foreign body granuloma; heroin dependence; intravenous drug abuse; pneumocystis jiroveci; bronchiolitis obliterans organizing pneumonia; granuloma, foreign-body; substance abuse, intravenous |
| Journal Title: | Chest |
| Volume: | 133 |
| Issue: | 2 |
| ISSN: | 0012-3692 |
| Publisher: | American College of Chest Physicians |
| Date Published: | 2008-02-01 |
| Start Page: | 549 |
| End Page: | 551 |
| Language: | English |
| DOI: | 10.1378/chest.07-0805 |
| PUBMED: | 18252922 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 1" - "Export Date: 17 November 2011" - "CODEN: CHETB" - "Source: Scopus" |
