title: Acute heroin intoxication with complications of acute pulmonary edema, acute renal failure, rhabdomyolysis and lumbosacral plexitis: a case report.
abstract: After intravenous injection of heroin, a 27-year-old male with altered mental status and hypotension was seen at the Emergency Service where acute pulmonary edema was noted. The problem was resolved three days later after oxygen therapy had been administered by face mask. Acute renal failure, rhabdomyolysis and monoplegia of the patient's left leg were exhibited during his stay at the Intensive Care Unit. Neurological examination and electro-diagnostic studies (electromyography and nerve conduction velocity) showed left lumbosacral plexitis. Hemodialysis was given. Though the patient's hospital course was uneventful, satisfactory recovery from his left leg weakness, which persisted for one year after hospital discharge, was finally achieved.
authors.affiliation: Medical Department, Taipei Municipal Chung Hsiao Hospital, Taiwan, R.O.C.
authors.forename: P
authors.initials: P
authors.lastname: Chan
authors.forename: T H
authors.initials: TH
authors.lastname: Lin
authors.forename: J P
authors.initials: JP
authors.lastname: Luo
authors.forename: J F
authors.initials: JF
authors.lastname: Deng
mesh_terms: D000208:Acute Disease; D058186:Acute Kidney Injury / Q000139:chemically induced*; D000328:Adult; D003932:Heroin / Q000506:poisoning*; D006801:Humans; D008160:Lumbosacral Plexus; D008297:Male; D009443:Neuritis / Q000139:chemically induced*; D011654:Pulmonary Edema / Q000139:chemically induced*; D012206:Rhabdomyolysis / Q000139:chemically induced*
chemical_list: D003932:Heroin