title: Disseminated granulomatosis through a patent foramen ovale in an intravenous drug user with pulmonary hypertension.
abstract: Disseminated granulomatosis is a well-documented complication of intravenous narcotism. We present here an interesting case in which this complication was caused by a right-to-left shunt (following intravenous injection of medicinal tablets intended for oral use) through a patent foramen ovale resulting from pulmonary hypertension due to angiothrombosis.
mesh_terms: D000328:Adult; D006346:Heart Septum / Q000473:pathology*; D006801:Humans; D004091:Hydromorphone; D006976:Hypertension, Pulmonary / Q000150:complications* / Q000473:pathology; D008230:Lymphomatoid Granulomatosis / Q000209:etiology* / Q000473:pathology; D008297:Male; D008774:Methylphenidate; D009294:Narcotics; D019966:Substance-Related Disorders
chemical_list: D009294:Narcotics; D008774:Methylphenidate; D004091:Hydromorphone