title: Pulmonary complications from alveolar accumulation of carbonaceous material in a cocaine smoker.
abstract: A 27-year-old woman presented with cough, fever, and pulmonary infiltrates after heavy cocaine smoking. Large amounts of carbonaceous material and pigment-laden macrophages were recovered by bronchoalveolar lavage. Alveolar deposition of particulate matter from heavy cocaine smoking has not been previously reported and may have been the cause of this patient's symptoms and abnormal findings on chest radiograph.
authors.affiliation: Department of Medicine, Rhode Island Hospital, Providence 02903.
authors.forename: J R
authors.initials: JR
authors.lastname: Klinger
authors.forename: E
authors.initials: E
authors.lastname: Bensadoun
authors.forename: W M
authors.initials: WM
authors.lastname: Corrao
mesh_terms: D000328:Adult; D001992:Bronchoalveolar Lavage Fluid / Q000737:chemistry / Q000166:cytology; D002244:Carbon / Q000032:analysis*; D003042:Cocaine; D004630:Emergencies; D005260:Female; D006679:HIV Seropositivity / Q000175:diagnosis; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis / Q000209:etiology*; D011650:Pulmonary Alveoli / Q000378:metabolism*; D011477:Sex Work; D019966:Substance-Related Disorders / Q000150:complications* / Q000175:diagnosis
chemical_list: D002244:Carbon; D003042:Cocaine