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]
[…] disorder, and substance abuse presented with three days of a non-productive cough and dyspnea. [shmabstracts.org]
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]
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. [wwww.unboundmedicine.com]
Entire Body System
- 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]
The patient presented to hospital with a 2 day history of haemoptysis and fever. She was continued to deteriorate following admission and required mechanical ventilation with a presumed diagnosis of pneumonia. [morressier.com]
- Hypoxemia
Two patients had prolonged inflammatory pulmonary injury associated with fever, hypoxemia, hemoptysis, respiratory failure, and diffuse alveolar infiltrates. [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]
- 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]
- Hodgkin Lymphoma
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]
Other histopathologic patterns include BOOP, NCPE, and non-Hodgkin (B-cell) lymphoma. Interestingly the non-Hodgkin lymphoma usually regresses after cessation of MTX therapy. [emedicine.medscape.com]
Respiratoric
- 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]
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]
(with pictures) wisegeek.com Get Rid Of Cough And Extra Mucus From The Lungs Carrots are extremely beneficial for our health, rich in Vitamins A and B, important in eye function. [diaconiacrd.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]
In some cases, hemorrhaging of capillaries in the lungs leads to coughing that produces black or bloody sputum. [drugaddictiontreatment.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]
Chest pain and dyspnea related to crack cocaine smoking: value of chest radiography. Radiology 1989; 172(2): 459-462. [ Links ] 9. Gotway MB, Marder SR, Hanks DK, Leung JW, Dawn SK, Gean AD, et al. [scielo.br]
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]
- Aspiration
[…] of food and vomit 2016 2017 2018 2019 Billable/Specific Code Applicable To Aspiration pneumonia NOS Aspiration pneumonia (due to) food (regurgitated) Aspiration pneumonia (due to) gastric secretions Aspiration pneumonia (due to) milk Aspiration pneumonia [icd10data.com]
There was a gradual darkening of the aspirated fluid reflecting increased recovery of carbonaceous material introduced into the lung during deep inhalation of ignited crack. [journals.lww.com]
Pneumomediastinum Caused by Foreign Body Aspiration in Children. Pediatric Radiology 1989;20(1-2):45-47. 8. Ramadan HH, Bu-Saba N, Baraka A, Mroueh S. Management of an Unusual Presentation of Foreign Body Aspiration. [dontforgetthebubbles.com]
Aspiration Aspiration is the most common lung injury resulting from illicit drug use and usually is related to sedative abuse, particularly opiates. [posterng.netkey.at]
- Sputum
Tuesday, September 2, 2014 Crack the Case A 60-year-old man presents to the ED with shortness of breath and a productive cough with black sputum for one day. [journals.lww.com]
Haemoptysis Haematemesis No nausea or vomiting Nausea and vomiting Concurrent lung disease Concurrent gastric or hepatic disease Sputum is frothy Vomitus is rarely frothy Sputum has a liquid or clotted appearance Typical coffee ground appearance Haemoptysis [patient.info]
Acute respiratory symptoms include dry cough or cough with elimination (bloodstained sputum or sputum containing dark material, resulting from the inhalation of tobacco smoke residues), dyspnea, fever, chest pain, asthma and episodes of bronchospasm. [scielo.br]
Clinical Shortness of breath Cough Production of black sputum (2° carbonaceous materials in smoke) Hemoptysis Chest pain Imaging Non-cardiogenic pulmonary edema (“increased permeability”) Most likely 2° to damage to capillary membrane, either by Direct [learningradiology.com]
In some cases, hemorrhaging of capillaries in the lungs leads to coughing that produces black or bloody sputum. [drugaddictiontreatment.com]
- Productive Cough
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]
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]
Tuesday, September 2, 2014 Crack the Case A 60-year-old man presents to the ED with shortness of breath and a productive cough with black sputum for one day. [journals.lww.com]
Cardiovascular
- Cyanosis
[…] state) is as follows: CNS - Coma, areflexia, pupils fixed and dilated, flaccid paralysis, and loss of vital support functions Circulatory - Circulatory failure and cardiac arrest (VF or asystole) Respiratory - Respiratory failure, gross pulmonary edema, cyanosis [emedicine.medscape.com]
The clinical presentation is nonspe-cific, but nearly always includes dyspnea with or without cough, shallow tachypnea, muscle wasting, cyanosis, and pulmonary hypertension(4). [pneumologia.eu]
Early symptoms include dyspnea, wheezing, and apprehension; cyanosis is rarely present. [medical-dictionary.thefreedictionary.com]
Check for cachexia, cyanosis, pallor, ecchymoses, telangiectasias and lymphadenopathy. Inspect the nasal cavity and oropharynx for: Extrapulmonary causes (pseudohaemoptysis). Signs of vasculitis. [patient.info]
Neurologic
- 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
Frankel Medicine 2011 Clinical features, general diagnostic workup, and management of the eosinophilic lung diseases, a heterogeneous group of disorders characterized by an increased numbers of eos in 1 or more compartments of the lung, radiographic abnormalities [semanticscholar.org]
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]
X-Ray
- 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]
[…] 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 (4) hypoxemia (5) pulmonary infiltrate on chest X-ray [meducator3.net]
[…] toxic effect on capillary endothelium Intense vasoconstrictor effect leads to anoxic cell damage Bronchiolitis obliterans with organizing pneumonia (BOOP) Pulmonary infiltrates with eosinophilia Adulterants have been implicated in producing hypersensitivity [learningradiology.com]
- Atelectasis
(up to 40%) Plain radiograph and CT Reported features are non-specific and include 2-4: pulmonary alveolar and interstitial edema, predominantly perihilar pulmonary hemorrhage barotrauma: pneumothorax; pneumomediastinum; pneumopericardium localized atelectasis [radiopaedia.org]
With continued hypoxia despite antibiotics and steroids she underwent a high resolution CT of the chest that showed low lung volumes and extensive multifocal band like opacities in the lower lobes consistent with atelectasis but could not rule out an [shmabstracts.com]
[…] in 25% Fever Chest/back pain Hyperpnea and dyspnea with minimal exertion Cough Wheezing (may see life threatening asthma exacerbations) Hemoptysis Melanoptysis (From inhalation of carbonaceous residue from materials used to light crack) Chest X-ray Atelectasis [radiology.vcu.edu]
- Chest X-Ray Abnormal
A chest X-ray showed a streaky opacity in the left lingula and possible trace bilateral pleural effusions. [shmabstracts.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]
- Bilateral Pulmonary Infiltrates
Several pulmonary complications are associated with the inhalation of crack cocaine (e.g., intensive cough, hemoptysis, shortness of breath, chest pain, acute bilateral pulmonary infiltrates, thermal airway injury, pneumothorax and noncardiogenic pulmonary [wwwnc.cdc.gov]
Pulmonary Function Test
- Decreased Lung Compliance
hypoxemia, and decreased lung compliance. [medical-dictionary.thefreedictionary.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]
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]
Anxiety Treatment Our inpatient anxiety treatment centers help people overcome the effects of anxiety disorders. Trauma & PTSD Treatment Residential PTSD programs offer a private, secluded place where the emphasis is on treatment. [promises.com]
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]
Outpatient treatment may also be used as a direct follow-up to residential treatment. [yellowstonerecovery.com]
Prognosis
[…] and include 2-4: 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]
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]
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]
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]
Treatment is directed at the underlying etiology and typically includes corticosteroids, total plasma exchange, and immunosuppressant therapy. [pulmonologyadvisor.com]
We speculate about the etiology and mechanism for recurrent hemorrhage. [kundoc.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]
Epidemiology Haemoptysis is common. In most cases, it is mild, self-limiting and related to transitory infection but it should be considered a serious sign due to the risk of underlying pathology. [patient.info]
Pathophysiology
NIDA conference report on cardiopulmonary complications of "crack" cocaine use: Clinical manifestations and pathophysiology. Chest 110:1072-1076, 1996. [archives.drugabuse.gov]
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]
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]
In this article, we describe cocaine and its abuse, after which we discuss and illustrate the pathophysiologic and imaging features of the aforementioned complications. [pubs.rsna.org]
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]
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]
Primary, secondary and terciary prevention of addiction with evidence based pharmacological treatment of alcohol, cocaine and other stimulants and opiates addiction is discussed. [books.google.ro]
Crack Cocaine Overdose Prevention The best prevention plan against crack cocaine overdose is abstinence. The addictive nature of crack cocaine makes any use of the drug dangerous. [addictioncampuses.com]