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Thoracic complications of illicit drug use: an organ system approach.
Gotway, Michael B; Marder, Shelley R; Hanks, Douglas K; Leung, Jessica W T; Dawn, Samuel K; Gean, Alisa D; Reddy, Gautham P; Araoz, Philip A; Webb, W Richard.
Afiliación
  • Gotway MB; Department of Radiology, San Francisco General Hospital, 1001 Potrero Ave, Rm 1X 55A, Box 1325, San Francisco, CA 94110, USA. michael.gotway@radiology.ucsf.edu
Radiographics ; 22 Spec No: S119-35, 2002 Oct.
Article en En | MEDLINE | ID: mdl-12376606
Illicit drug use constitutes a major health problem and may be associated with various thoracic complications. These complications vary depending on the specific drug used and the route of administration. Commonly abused drugs that may play a role in causing thoracic disease include cocaine, opiates, and methamphetamine derivatives. Intravenously abused oral medications may contain filler agents that may be responsible for disease. Thoracic complications may be categorized as pulmonary, pleural, mediastinal, cardiovascular, and chest wall complications. Pulmonary complications of drug abuse include pneumonia, cardiogenic edema, acute lung injury, pulmonary hemorrhage, and aspiration pneumonia. Filler agents such as talc may result in panacinar emphysema or high-attenuation upper-lobe conglomerate masses. The primary pleural complication of illicit drug use is pneumothorax. Mediastinal and cardiovascular complications of illicit drug use include pneumomediastinum, cardiomyopathy, myocardial infarction, aortic dissection, and injection-related pseudoaneurysms. Chest wall complications include diskitis and vertebral osteomyelitis, epidural abscess, necrotizing fasciitis, costochondritis, and septic arthritis. Categorization of thoracic complications of illicit drug use may facilitate understanding of these disorders and allow accurate diagnosis.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Torácicas / Tórax / Drogas Ilícitas / Trastornos Relacionados con Sustancias Límite: Female / Humans / Male Idioma: En Revista: Radiographics Año: 2002 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Torácicas / Tórax / Drogas Ilícitas / Trastornos Relacionados con Sustancias Límite: Female / Humans / Male Idioma: En Revista: Radiographics Año: 2002 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos