Pulmonary intravascular talcosis mimicking miliary tuberculosis in an intravenous drug addict

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Intravascular Talcosis due to Intravenous Drug Use Is an Underrecognized Cause of Pulmonary Hypertension

Intravenous injection of illegal drugs or medications meant for oral administration can cause granulomatous disease of the lung. This intravascular talcosis results in pulmonary fibrosis and pulmonary hypertension. Nine cases of histologically confirmed intravascular talcosis were reviewed with specific attention given to the clinical histories in these patients. Five autopsy cases were include...

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Talc has been known to cause lung disease, via inhalation or intravenously. A good history along with radiological correlation will often reveal the diagnosis. However, most intravenous drug abusers are reluctant to give a history of exposure, and most diagnoses are made after lung biopsy. We present a case of acute respiratory failure that posed a diagnostic challenge and was diagnosed only af...

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Isolated Pulmonary Langerhans-Cell Histiocytosis Mimicking Miliary Tuberculosis

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Non-Hodgkin's lymphoma with pulmonary infiltrates mimicking miliary tuberculosis.

Miliary infiltrates observed on chest films in non-Hodgkin's lymphoma are extremely rare. We report a case with pulmonary infiltrates mimicking miliary tuberculosis associated with prominent eosinophilia and elevated IgE levels. The levels of circulating eosinophils correlated with disease activity as they transiently returned to normal after effective chemotherapy in a short period. However, t...

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Acute Pulmonary Vascular Talcosis: Mimicking Acute Pulmonary Embolism

Intravenous injection of powdered tablets intended to oral use is a common practice among drug abusers, given the greater effectiveness attributed to accelerate delivery of the drug through this route compared to oral intake. This can result in both acute and chronic changes in the pulmonary vessels and parenchyma. Various terms have been used to describe this entity and include self-induced pu...

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ژورنال

عنوان ژورنال: Case Reports

سال: 2014

ISSN: 1757-790X

DOI: 10.1136/bcr-2014-203908