Cocaine-induced pneumopericardium.
نویسندگان
چکیده
A20-year-old man without past medical history was admitted for diffuse left-sided and retrosternal chest pain after he was “told and forced to swallow crystal rocks.” He denied any prior symptomatology and denied cough. In the emergency department, he had a normal physical examination and laboratory studies. The ECG, however, showed diffuse ST-segment elevations (Figure 1). He was admitted to the Coronary Care Unit. Within 6 hours of admission, he developed a pericardial friction rub. His urine toxicology screening was positive for cocaine. The chest x-ray was consistent with the diagnosis of pneumopericardium (Figure 2). On the second hospital day, the patient underwent both an esophageal contrast study with gastrografin and a cardiac echocardiogram. Both were normal. Subsequent chest x-rays showed a slow resolution of his pneumopericardium (Figures 3 and 4). Cocaine-induced pneumopericardium has seldom been reported, and its mechanism remains elusive. In the present case, we postulate that the likely use of “crack” cocaine with solid contaminants in the crystalline mass could have caused a microscopic esophageal tear and eventually produced a leak of air into the pericardial sac that was self-contained. The patient was discharged in stable condition on the fourth hospital day.
منابع مشابه
Lung disease induced by drug addiction.
In their editorial on the pulmonary consequences ofillicit drug use (November 1995; 50:1125-7) Benson and Bentley draw attention to barotrauma as a complication of cocaine inhalation. Pneumothorax, pneumomediastinum, and pneumopericardium have also been described, however, in association with the use of marijuana,12 a drug that is more widely used in England and Australia than cocaine. The mech...
متن کامل[Pneumopericardium and pneumomediastinum in a diabetic and cocaine user patient].
Pneumopericardium and pneumomediastinum are uncommon and potentially serious conditions. In adults, most cases are iatrogenic in origin, caused by surgical or endoscopic procedures, or mechanical ventilation. A case related to coronary angioplasty has even been reported. Chest trauma, both open and closed, is another common cause. They have also been reported in connection with other less commo...
متن کاملDifferentiation of Cocaine-Induced Midline Destructive Lesions from ANCA-Associated Vasculitis
Introduction: Cocaine-induced midline destructive lesions (CIMDL) are complications of regular nasal cocaine inhalation. CIMDL can mimic systemic diseases with positive anti-neutrophil cytoplasmic antibodies (ANCA), such as granulomatosis with polyangiitis (GPA). Case Report: In this article, we describe the case of a young woman who presented with nasal perforation induced by cocaine, al...
متن کاملEFFECTS OF CHOLECYSTOKININ RECEPTOR ANTAGONISTS ON MORPHINE- AND COCAINEINDUCED HYPOTHERMIA
The effects of cholecystokinin (CCK) receptor antagonists on hypothermia induced by cocaine or morphine have been studied in mice. In the present work, subcutaneous (SC) injection of cocaine (50-150 mg/kg) or morphine (125-500 mg/kg) induced hypothermia in mice. Administration of CCKA receptor antagonist MK-329 (0.5-1.5 mg/kg), CCKB receptor antagonist L-365, 260 (0.5-1.5 mgl kg) and CCK r...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Circulation
دوره 102 22 شماره
صفحات -
تاریخ انتشار 2000