Delayed resolution of pulmonary oedema after cocaine/heroin abuse.
Pulmonary oedema lasting six days occurred in a 68 year old man after sniffing cocaine. He also had evidence of parenteral self-administration of heroin. Pulmonary microvascular filtration pressure and permeability were normal. Delayed resolution of the pulmonary oedema may have been caused by a cocaine-induced impairment of sodium and thus fluid transport across alveolar epithelium. Recognition may be important, since lowering filtration pressure with diuretics may not hasten resolution of oedema.
Raijmakers
P G
PG
Medical Intensive Care Unit, Free University Hospital, Amsterdam, The Netherlands.
Groeneveld
A B
AB
de Groot
M C
MC
Teule
G J
GJ
Thijs
L G
LG
D000368:Aged; D003042:Cocaine; D003932:Heroin; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D008297:Male; D011654:Pulmonary Edema / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D019966:Substance-Related Disorders / Q000150:complications* / Q000000981:diagnostic imaging; D013997:Time Factors
D003932:Heroin; D003042:Cocaine