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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]
  • 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]
  • 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]
  • Abstract In this report, we review the hospital course of four patients who presented with an acute pulmonary syndrome after inhaling freebase cocaine and compare them with previously described case reports.[ncbi.nlm.nih.gov]
Fever
  • Two patients had prolonged inflammatory pulmonary injury associated with fever, hypoxemia, hemoptysis, respiratory failure, and diffuse alveolar infiltrates.[ncbi.nlm.nih.gov]
  • 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]
  • 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]
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]
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]
  • 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]
  • 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]
Dyspnea
  • 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]
  • 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[ncbi.nlm.nih.gov]
  • […] preparation (2) pre-existing asthma (3) pre-existing or concurrent lung disease (4) heavy use of crack cocaine (5) smoking other drugs of abuse (6) cigarette smoking Clinical features of "crack lung" syndrome: (1) cough (2) absent or low grade fever (3) dyspnea[meducator3.net]
  • 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]
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]
  • Symptoms may include: difficulty breathing, such as: wheezing shortness of breath even breathing failure severe chest pain coughing, including coughing up blood from the lungs low blood oxygen collapsed or inflamed lungs that fill up with fluid People[canada.ca]
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]
Dyspnea at Rest
  • 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]
Skin Patch
  • Seite 141 - Mecamylamine combined with nicotine skin patch facilitates smoking cessation beyond nicotine patch treatment alone. Clin Pharmacol Ther 1994; 56: 86-99. ‎[books.google.de]
Flight of Ideas
  • 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]

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]
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[ncbi.nlm.nih.gov]
  • infiltrate on chest X-ray (6) clinical improvement after corticosteroid therapy References: Dicpinigaitis PV, Jnes JG, et al.[meducator3.net]
  • infiltrates with eosinophilia Adulterants have been implicated in producing hypersensitivity rx Lidocaine, lactose, sucrose, starch and talc Pulmonary hemorrhage Either from anoxic cell damage 2 vasoconstriction or direct toxic effect Diffuse Interstitial[learningradiology.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]
Chlamydia
  • Resection 87 The Lung in Pregnancy 98 Lung in Immunocompromised Host 109 Tobacco Control 121 General Considerations 135 Staphylococcal and Streptococcal Pneumonias 146 Klebsiella Pneumonia 153 Anaerobic Pulmonary Infections 165 Mycoplasma Chlamydophila Chlamydia[books.google.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]
  • 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]
  • 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]
  • […] nonspecific and 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[radiopaedia.org]

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]
  • Prognosis The outcome of ARDS is a function of underlying cause.[medical-dictionary.thefreedictionary.com]
  • […] trying to overcome my addiction in a community based DTP). can anyone help guide me as to what my chest issue is, as my mother-in-law was being treated for over a year for muscular pain and this transpired to be terminal lung cancer, she was given a prognosis[healthunlocked.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]
  • […] and Discontinuation 339 Oxygen Therapy and Toxicity 345 ProtocolDriven Care in Respiratory Therapy 351 Epidemiology Natural History 357 Prophylaxis 364 Chronic Thromboembolic Pulmonary Hypertension 375 Unusual Forms of Embolism 384 Pathogenesis and Etiology[books.google.com]
  • We speculate about the etiology and mechanism for recurrent hemorrhage.[kundoc.com]
  • Pneumomediastinum and/or pneumothorax should be considered as an etiology for respiratory complaints or chest pain in any young person whose daily activities may include an unusual frequency of Valsalva manoeuvers or increased intrathoracic pressure.[dontforgetthebubbles.com]

Epidemiology

  • […] and epidemiology of cocaine addiction.[books.google.com]
  • المحتويات Complications and Discontinuation 339 Oxygen Therapy and Toxicity 345 ProtocolDriven Care in Respiratory Therapy 351 Epidemiology Natural History 357 Prophylaxis 364 Chronic Thromboembolic Pulmonary Hypertension 375 Unusual Forms of Embolism[books.google.com]
  • Bothamley) ; University College London Centre for Infectious Disease Epidemiology, London (A. Hayward) Cite This Article Abstract We hypothesize that crack cocaine is independently associated with smear-positive tuberculosis (TB).[wwwnc.cdc.gov]
  • Risk of Becoming Cocaine Dependent: Epidemiological Estimates for the United States, 2000–2001. Retrieved October 30, 2015.[drugabuse.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]
  • 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]
  • NIDA conference report on cardiopulmonary complications of "crack" cocaine use: Clinical manifestations and pathophysiology. Chest 110:1072-1076, 1996.[archives.drugabuse.gov]

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]

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