Hypodermic Needle Aspiration in a Freebase Cocaine Abuser

Lacagnina, Salvatore; Vomero, Ernest; Jacobson, Myron J.; Gold, Avram R.

doi:10.1378/chest.97.5.1275b

Cited by 6 publications

(3 citation statements)

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“…There can also be an overlap of symptoms, including cough, hypoxemia, and respiratory failure [ 9 ]. However, some individuals may present with more chronic symptoms, including prolonged cough, fever, chills, and night sweats [ 10 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…Any number of different foreign and native bodies can be aspirated from metallic objects to one’s own nasal septum [ 11 ]. Aspiration of a foreign body can lead to mechanical injury of soft tissues, burns, and even systemic sequelae [ 5 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…Depending on what the object was used for, it may be harboring any number of pathogens. These foreign bodies may also acquire pathogens as they travel through the oropharynx, as was likely the case when an aspirated hypodermic needle hub culture grew Streptococcus viridans and Lactobacilli [ 11 ]. Radiographic imaging can be useful, but identification of the offending object may not always be possible with a roentgenogram or even CT. A longstanding object might be seen as a nodular opacity, whereas recently aspirated objects may be an infiltrate [ 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

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Foreign Body Aspiration Getting Weird: Crack Pipe Aspiration

Bulathsinghala¹,

Silva²,

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et al. 2021

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Foreign Body Aspiration Getting Weird: Crack Pipe Aspiration

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Respiratory toxicities from stimulant use

Albertson

Walby

1997

Clinic Rev Allerg Immunol

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Stimulants and the Lung

Tseng

Sutter

Albertson

2013

Clinic Rev Allerg Immunol

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Illicit stimulants, such as cocaine, amphetamine, and their derivatives (e.g., "ecstasy"), continue to exact heavy toll on health care in both developed and developing countries. The US Department of Health and Human Service reported over one million illicit drug-related emergency department visits in 2010, which was higher than any of the six previous years. Both inhaled and intravenous forms of these substances of abuse can result in a variety of acute and chronic injuries to practically every part of the respiratory tract, leading potentially to permanent morbidities as well as fatal consequences--including but not limited to nasal septum perforation, pulmonary hypertension, pneumothorax, pneumomediastinum, interstitial lung disease, alveolar hemorrhage, reactive airway disease, pulmonary edema, pulmonary granulomatosis, infections, foreign body aspiration, infections, bronchoconstriction, and thermal injuries. Stimulants are all rapidly absorbed substances that can also significantly alter the patient's systemic acid-base balance and central nervous system, thereby leading to further respiratory compromise. Mounting evidence in the past decade has demonstrated that adulterants coinhaled with these substances (e.g., levamisole) and the metabolites of these substances (e.g., cocaethylene) are associated with specific forms of systemic and respiratory complications as well. Recent studies have also demonstrated the effects of stimulants on autoimmune-mediated injuries of the respiratory tract, such as cocaine-induced midline destructive lesions. A persistent challenge to studies involving stimulant-associated respiratory toxidromes is the high prevalence of concomitant usage of various substances by drug abusers, including tobacco smoking. Now more than ever, health care providers must be familiar with the multitude of respiratory toxidromes as well as the diverse pathophysiology related to commonly abused stimulants to provide timely diagnosis and effective treatment.

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Hypodermic Needle Aspiration in a Freebase Cocaine Abuser

Cited by 6 publications

References 1 publication

Foreign Body Aspiration Getting Weird: Crack Pipe Aspiration

Foreign Body Aspiration Getting Weird: Crack Pipe Aspiration

Respiratory toxicities from stimulant use

Stimulants and the Lung

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