Heroin-Induced Transverse Myelitis in a Chronic Heroin User: A Case Report.

Hussain, Mueez; Shafer, Drake; Taylor, Joseph; Sivanandham, Ranjit; Vasquez, Hellen

Hussain, Mueez; Shafer, Drake; Taylor, Joseph; Sivanandham, Ranjit; Vasquez, Hellen.

Afiliación

Hussain M; Internal Medicine, Southwest Healthcare MEC, Temecula, USA.
Shafer D; Internal Medicine, California University of Science and Medicine, Colton, USA.
Taylor J; Internal Medicine, Southwest Healthcare MEC, Temecula, USA.
Sivanandham R; Internal Medicine, Southwest Healthcare MEC, Temecula, USA.
Vasquez H; Internal Medicine, Southwest Healthcare MEC, Temecula, USA.

Cureus ; 15(7): e41286, 2023 Jul.

Article en En | MEDLINE | ID: mdl-37405127

RESUMEN

Transverse myelitis is a rare but documented sequela of heroin use. While the underlying etiology is not clearly elucidated, the prevailing pathophysiologic mechanism amongst existing literature suggests an immune-mediated hypersensitivity reaction due to heroin insufflation following a long period of abstinence. Outcomes vary among the limited reports, but prognosis tends to be poor due to an acute and rapidly progressive disease course. Here, we describe a case of extensive transverse myelitis in a chronic heroin user following heroin insufflation. This report hopes to provide greater insight into the underlying cause of this rare phenomenon due to our patient's discrepancy from the documented norm of heroin abstinence preceding disease onset.

Palabras clave

case report; central nervous system; heroin; neuroimaging; paralysis; substance use; transverse myelitis

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: Cureus Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

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