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Crack Lung

Crack Lung Syndrome


Presentation

  • Case Presentation: A 19-year-old female with mild persistent asthma, borderline personality disorder, and substance abuse presented with three days of a non-productive cough and dyspnea.[shmabstracts.com]
  • Keywords Abstract We present a case-report of a 15-year-old girl who developed severe respiratory failure following illicit drug use in the context of an unusual social background.[morressier.com]
  • She had a past medical history of cocaine abuse and agreed that she used cocaine 2 days prior to presentation. On admission, her vitals included Blood Pressure of 160/70, Heart Rate—110, Respiratory Rate—36 with oxygen saturation of 78%.[semanticscholar.org]
  • Pulmonary findings in a 65 year old man with non hodgkins lymphoma who presented with shortness of breath not resolving with antibiotics are presented.[current-oncology.com]
Fever
  • Two patients had prolonged inflammatory pulmonary injury associated with fever, hypoxemia, hemoptysis, respiratory failure, and diffuse alveolar infiltrates.[wwww.unboundmedicine.com]
  • The illness typically causes fever, coughing, phlegm, intense pain, and bleeding from the lungs. Crack lung sometimes shows up as lung abnormalities on X-rays, though this is not always the case.[radiopaedia.org]
  • From WikEM Background Due to hemorrhagic alveolitis from inhalational cocaine use [1] Clinical Features Most common symptoms are cough and shortness of breath Others include: acute lung injury hypoxia chest pain hemoptysis fever focal infiltrates bronchospasm[medbox.iiab.me]
Congestive Heart Failure
  • Dyspnoea, fatigue, orthopnoea, paroxysmal nocturnal dyspnoea, frothy pink sputum - suggestive of congestive heart failure. Dyspnoea and pleuritic chest pain - consider a PE. Signs Record vital signs, including oxygen saturation levels.[patient.info]
  • This can lead to an increased risk of heart arrhythmias, heart attack and congestive heart failure. Coronary atherosclerosis may also develop from long-term crack use.[luxury.rehabs.com]
  • A positive gallium scan result is seen in almost all patients with amiodarone pneumonitis and can help differentiate it from pulmonary embolism and congestive heart failure.[emedicine.medscape.com]
  • Other cardiovascular complications resulting from cocaine abuse are ventricular arrhythmias, congestive heart failure, aortic dissection, intramural hematoma of the aorta, dilated cardiomyopathy, and sudden death (, 5,, 19 –, 21 ).[pubs.rsna.org]
Cough
  • […] alot of that coughing comes from the butane, the coating on whatever you used for screens plus whatever nasty cut was put in the stuff. after i stopped smoking it, i eventually finished coughing hopefully all that stuff out. my voice got back or closer[medhelp.org]
  • They usually have trouble breathing, have coughing fits and will cough up blackish residue. A few of the addicts have had to be hospitalized due to difficulty breathing and were probably experiencing crack lung.[wisegeek.com]
  • The illness typically causes fever, coughing, phlegm, intense pain, and bleeding from the lungs. Crack lung sometimes shows up as lung abnormalities on X-rays, though this is not always the case.[radiopaedia.org]
  • This leads to shortness of breath, coughing and lack of endurance during exercise. Emphysema is one type of chronic obstructive pulmonary disease (COPD), and is often seen in combination with chronic bronchitis.[abcnews.go.com]
  • Brief Report: PDF Only Abstract ABSTRACT: We describe the bronchoalveolar lavage appearance in a patient presenting with chest pain, cough, shortness of breath, and diffuse interstitial infiltrates after the inhalation of crack cocaine.[journals.lww.com]
Dyspnea
  • In contrast, two patients presented acutely with diffuse pulmonary alveolar infiltrates associated with dyspnea and hypoxemia, but without fever, and within 36 h of discontinuing cocaine their pulmonary infiltrates and symptoms had spontaneously resolved[wwww.unboundmedicine.com]
  • Patients present with sympathetic hyperactivity such as tachycardia, hypertension, dilated pupils, and chest pain, productive cough, dyspnea, and hypoxemia along with fever, hemoptysis, and respiratory failure 1,3.[radiopaedia.org]
  • They evaluated a 39-year-old patient with a history of frequent crack cocaine use who presented with progressive dyspnea.[auntminnie.com]
Painful Cough
  • Brief Report: PDF Only Abstract ABSTRACT: We describe the bronchoalveolar lavage appearance in a patient presenting with chest pain, cough, shortness of breath, and diffuse interstitial infiltrates after the inhalation of crack cocaine.[journals.lww.com]
  • Some of the symptoms include Dyspnea at rest Exertional cyanosis Lung signs/abnormality Painful cough Pulmonary Crackles Rales Rales,dry Rhonchi/coarse rales Shortness of breath/SOB Sudden onset dyspnea Wheezing Voice Alteration Fever Fever Febrile Possible[bluelight.org]
  • It consists of the constellation of the following: Chest pain Cough with hemoptysis Dyspnea Bronchospasm Pruritus Fever Diffuse alveolar infiltrates without effusions Pulmonary and systemic eosinophilia Barotrauma, such as pneumothorax and pneumomediastinum[medscape.com]
Rales
  • Some of the symptoms include Dyspnea at rest Exertional cyanosis Lung signs/abnormality Painful cough Pulmonary Crackles Rales Rales,dry Rhonchi/coarse rales Shortness of breath/SOB Sudden onset dyspnea Wheezing Voice Alteration Fever Fever Febrile Possible[bluelight.org]
  • Rales can be further described as moist, dry, fine, and coarse. Rhonchi: Sounds that resemble snoring. They occur when air is blocked or air flow becomes rough through the medium-sized airways, most often with secretions.[en.wikipedia.org]
  • Lung signs that may be found with haemoptysis include: Fine inspiratory rales (associated with alveolar blood). Inspiratory and expiratory rhonchi (associated with airway secretions and blood).[patient.info]
  • Exam findings may include rales on examination and respiratory failure.[pulmonologyadvisor.com]
Pulmonary Disorder
  • Morris Lippincott Williams & Wilkins, 2005 - 647 من الصفحات The thoroughly revised, updated Sixth Edition of this Spiral Manual is a complete, convenient, practical guide to diagnosis and management of pulmonary disorders.[books.google.com]
  • Pulmonary disorders that have been described with mitomycin C toxicity include the following: Acute pneumonitis Hemolytic-uremic–like syndrome with acute lung injury Chronic pneumonitis with the insidious development of diffuse parenchymal lung disease[emedicine.medscape.com]
Flight of Ideas
  • (Image: Comstock/Stockbyte/Getty Images) Stimulant side effects of crack cocaine are increased energy, mental alertness, rapid and frequent talking, flight of ideas and sensitivity to light and sound.[livestrong.com]
Agitated Delirium
  • Withdrawal from alcohol or sedative-hypnotics may cause the triad of hyperthermia, agitated delirium, and seizures. Phases of acute cocaine toxicity Three phases are reported.[emedicine.medscape.com]

Workup

  • In this case, a crack cocaine user presented with significant hypoxia, nonspecific chest X-ray abnormalities, with workup revealing AEP that responded well to steroids and avoidance of the offending agent.[shmabstracts.com]
  • The greatest progress in the management of CTEPH is the clinical awareness of the disease and the diagnostic workup of surgical thrombus accessibility.1,5–7 The present case is unique in that it demonstrates a rare combined thrombophilic defect underlying[kundoc.com]
  • Laboratory tests performed at admission revealed the following: normal blood workup and platelets; erythrocyte sedimentation rate, 27 mm in the first hour; C-reactive protein, 192 mg/dL; creatinine, 0.8 mg/dL; aspartate aminotransferase, 21 U/L; alanine[scielo.br]
Pulmonary Infiltrate
  • Inspection of the hands for burns consistent with handling cocaine pipes should prompt a consideration of crack lung in patients with pulmonary infiltrates.[ncbi.nlm.nih.gov]
  • In contrast, two patients presented acutely with diffuse pulmonary alveolar infiltrates associated with dyspnea and hypoxemia, but without fever, and within 36 h of discontinuing cocaine their pulmonary infiltrates and symptoms had spontaneously resolved[wwww.unboundmedicine.com]
  • infiltrate on chest X-ray (6) clinical improvement after corticosteroid therapy References: Dicpinigaitis PV, Jnes JG, et al.[meducator3.net]
  • A patient developed fever, transient pulmonary infiltrates, and bronchospasm in three separate episodes after inhaling cocaine, they stated.[auntminnie.com]
X-Ray Abnormal
  • In this case, a crack cocaine user presented with significant hypoxia, nonspecific chest X-ray abnormalities, with workup revealing AEP that responded well to steroids and avoidance of the offending agent.[shmabstracts.com]
Chest X-Ray Abnormal
  • In this case, a crack cocaine user presented with significant hypoxia, nonspecific chest X-ray abnormalities, with workup revealing AEP that responded well to steroids and avoidance of the offending agent.[shmabstracts.com]
Bilateral Pulmonary Infiltrate
  • ., intensive cough, hemoptysis, shortness of breath, chest pain, acute bilateral pulmonary infiltrates, thermal airway injury, pneumothorax and noncardiogenic pulmonary edema, production of carbonaceous sputum, and exacerbation of asthma) ( 9 ).[wwwnc.cdc.gov]
X-Ray Abnormal
  • In this case, a crack cocaine user presented with significant hypoxia, nonspecific chest X-ray abnormalities, with workup revealing AEP that responded well to steroids and avoidance of the offending agent.[shmabstracts.com]

Treatment

  • Let our treatment experts call you today. Talk to a treatment care expert today. Our treatment experts are equipped to answer your questions about our facility, insurance and how to live a life free from addiction.[pathwaytohope.net]
  • Can be associated with diffuse alveolar hemorrhage or eosinophilia on bronchoscopy Treatment is supportive with O2, bronchodilator therapy, and ventilation when indicated.[ucsfmed.wordpress.com]
  • Quora Crack Lung Drug Addiction Treatment Crack Lung Drug Addiction Treatment How To Get Rid Of Crack Lung 3/06/2018 · Also, with crack lung, the difference in that and a respiratory infection like you had that you didnt mention above is with crack lung[diaconiacrd.org]
  • Any of these symptoms may be indicative of damage to the cartilage or tendons and may require treatment. Ignoring these symptoms may lead to chronic problems down the line.[livestrong.com]
  • Although showing outward signs of suffering from pneumonia, the patients do not respond to antibiotics or other anti-pneumonia treatments. Dr. Dana G.[articles.latimes.com]

Prognosis

  • […] include 2,3,4 : pulmonary alveolar and interstitial edema, predominantly perihilar pulmonary hemorrhage barotrauma: pneumothorax ; pneumomediastinum ; pneumopericardium localized atelectasis or consolidation empyema rich in eosinophils Treatment and prognosis[radiopaedia.org]
  • Massive haemoptysis can directly cause death and has a bad prognosis, worse in some groups such as those with an underlying cancer. To learn more about how Sober Nation operates, please.[ideafit.com]
  • Prognosis Haemoptysis may be a mild, self-limiting symptom or may herald serious underlying disease. Massive haemoptysis can directly cause death and has a bad prognosis, worse in some groups such as those with an underlying cancer.[patient.info]
  • The prognosis of PLC is particularly grim, with approximately 50% to 85% of patients dying within 3-6 months of diagnosis(1,2,8,9).[pneumologia.eu]
  • The prognosis is good. Most patients improve after discontinuation of the gold therapy. Penicillamine Penicillamine is an anti-inflammatory agent mostly used in the treatment of rheumatoid arthritis.[emedicine.medscape.com]

Etiology

  • Drawing on the latest work in medicine, psychiatry, neuroscience, pharmacology, epidemiology, social work, and sociology, the volume is a highly accessible reference on the history and use of cocaine, its physical and psychological effects, and the etiology[books.google.com]
  • We speculate about the etiology and mechanism for recurrent hemorrhage.[kundoc.com]
  • Treatment is directed at the underlying etiology and typically includes corticosteroids, total plasma exchange, and immunosuppressant therapy.[pulmonologyadvisor.com]
  • Gastric biopsy confirmed the etiology of PLC: undifferentiated adenocarcinoma of the stomach.[pneumologia.eu]

Epidemiology

  • […] and epidemiology of cocaine addiction.[books.google.com]
  • Bothamley) ; University College London Centre for Infectious Disease Epidemiology, London (A.[wwwnc.cdc.gov]
  • Fatal excited delirium following cocaine use: epidemiologic findings provide new evidence for mechanisms of cocaine toxicity. J Forensic Sci. 1997 Jan. 42(1):25-31. [Medline]. Vilke GM, Bozeman WP, Dawes DM, Demers G, Wilson MP.[medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • Although a combined coagulation defect found in only 1 of 500,000 patients is unlikely to have a great bearing even on a rare disease such as CTEPH, this case illustrates a potential pathophysiologic contribution of plasmatic coagulation and thromboembolism[kundoc.com]
  • NIDA conference report on cardiopulmonary complications of "crack" cocaine use: Clinical manifestations and pathophysiology. Chest 110:1072-1076, 1996.[archives.drugabuse.gov]
  • Pharmacology: Local anesthetic Stabilizes cell membranes and blocks neuronal sodium channels Also a sympathomimetic and CNS stimulant Interferes with reuptake of catecholamines and serotonin Methods of abuse Snorted Smoked Pathophysiology Methods of pulmonary[radiology.vcu.edu]
  • Cocaine: pathophysiology and clinical toxicology. Heart Lung, 26 (6), 466. Brust, J. C. (1998). Acute neurologic complications of drug and alcohol abuse. Neurol Clin., 16 (2), 503. Neiman, J., Haapaniemi, H. M., Hillbom, M. (2000).[luxury.rehabs.com]

Prevention

  • Each ligament prevents the knee from going in a certain direction. ACL prevents the shin bone from going forwards, the PCL prevents the shin from going backwards and the MCL/LCL prevents the knee from going side to side.[nicksivrichptanswersnow.wordpress.com]
  • Prevention of bacterial endocarditis. ‏ الصفحة 303 - American Thoracic Society. Standards for the diagnosis and care of patients with chronic obstructive pulmonary disease (COPD) and asthma. ‏[books.google.com]
  • Cocaine prevents dopamine from being reabsorbed by the cell which amplifies the feeling of euphoria. The euphoric effect of crack cocaine is brief. Repeat use of crack cocaine stops the body's natural production of dopamine.[livestrong.com]
  • Thus, the first step to preventing and treating both crack lung and emphysema seems easy: "Don't smoke anything. If you're smoking anything, stop it," Horovitz says. But for many, that part is far from simple.[abcnews.go.com]
  • The two best ways to beat lung cancer is to: Prevent lung cancer by minimizing or eliminating risk factors, and Detect lung cancer at its earliest and most treatable stage.[roswellpark.org]

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