Infections in Injection Drug Users

LEVINE, DONALD P.; BROWN, PATRICIA D.

doi:10.1016/b978-0-443-06839-3.00316-7

Cited by 7 publications

(23 citation statements)

References 239 publications

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“…These findings are in agreement with some earlier studies and literature [3][5][7][8][13][15][17][23]. We believe that these variables may be the main risk factors for viral hepatitis acquisition in the IDU population in the study region.…”

Section: Discussionsupporting

confidence: 93%

Seroprevalence study of HCV among hospitalized intravenous drug users in Ahvaz, Iran (2001–2006)

Alavi¹,

Alavi²

2009

Journal of Infection and Public Health

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Section: Discussionsupporting

confidence: 93%

Seroprevalence study of HCV among hospitalized intravenous drug users in Ahvaz, Iran (2001–2006)

Alavi¹,

Alavi²

2009

Journal of Infection and Public Health

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“…Brain imaging methods CT and MRI are essential for differential diagnosis and give more information about the types of brain lesions [4,20]. The significance of radiological imaging modalities in our drug-addicted patient, especially MRI, was to show that the bilateral focal lesions in frontal brain regions did not originate from infections, but were rather a result of an invasive neurosurgical treatment.…”

Section: Discussionmentioning

confidence: 99%

“…These complications arise from opportunistic infections, tumors or HIV encephalitis [2,3]. They are more often caused by bacteria and fungi than by viruses [4]. These diseases can have a clinical presentation of meningeal syndrome with a spectrum of possible complications, such as diffuse or focal brain lesions [4,5].…”

Section: Introductionmentioning

confidence: 99%

“…They are more often caused by bacteria and fungi than by viruses [4]. These diseases can have a clinical presentation of meningeal syndrome with a spectrum of possible complications, such as diffuse or focal brain lesions [4,5]. Unexplained and constant headaches in IV drug addicts should raise suspicion of intracerebral abscess along with other life-threatening pathologies [6].…”

Section: Introductionmentioning

confidence: 99%

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Focal brain lesions as a consequence of an obscure neurosurgical treatment in drug-addicted patient

et al. 2020

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Introduction Infectious or non-infectious noxae may occur in drug-addicted patients who have clinical presentation of meningeal syndrome with a spectrum of possible complications, such as a diffuse or focal brain lesions. The objective of this report is to present a rare case of a drug-addicted male patient, initially suspected of mycosis of the central nervous system, but computed tomography (CT) and magnetic resonance imaging (MRI) showed the signs of an invasive neurosurgical operation that the patient underwent during the treatment of drug addiction. Case outline A 37-year-old male patient was hospitalized at the Clinic for Infectious Diseases, Clinical Center of Vojvodina, with a meningeal syndrome, initially suspected of mycosis of the central nervous system. He was diagnosed at the Center for Radiology. Neuroimaging-CT and MRI were used in order to prove or disprove the presence of brain infection. These diagnostic procedures ruled out the presence of brain infection, but opened questions about the type of neurosurgical treatment performed out of legal institution, due to the presence of craniotomy and focal glial brain lesions in the frontal lobes. Conclusion In drug-addicted patients, meningeal syndrome can be connected with diffuse or focal brain infections. Together with laboratory and clinical analysis, imaging methods contribute to the decision making and optimal treatment of patients. In our case, CT and MRI made a significant contribution in the detection of the focal brain lesions and clarification of their etiology.

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“…Febrile episodes in injection drug users are common, yet distinguishing between febrile reactions caused by toxins or impurities in the injected substance and true infections may be difficult ( 2 , 3 ). Methadone hydrochloride, which is widely used for opioid substitution, can be mixed with viscous substances such as syrup to yield a solution that is not suitable for misuse through self-injection.…”

mentioning

confidence: 99%