[Dyspnea on exertion and bihilar space occupying lesion in intravenous cocaine/heroin abuse].
We report about a 44 year old man with intravenous cocaine/heroin abuse with shortness of breath (NYHA III) and prominent bilateral hila. We documented a severe pulmonary hypertension with bilateral dilated pulmonary vessels. Differential diagnosis is broad and further diagnostic evaluation is needed. Therapy includes anticoagulation, diuretics, if necessary oxygen supply and specific inhalative and perorale drugs.
Sawatzki
M
M
Medizinische Poliklinik, Kardiologie, Universitätsspital Basel. sawatzkim@uhbs.ch
Keller
D I
DI
D000328:Adult; D019970:Cocaine-Related Disorders / Q000150:complications* / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000000981:diagnostic imaging / Q000209:etiology*; D004562:Electrocardiography; D006556:Heroin Dependence / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D006976:Hypertension, Pulmonary / Q000000981:diagnostic imaging*; D008297:Male; D011660:Pulmonary Heart Disease / Q000000981:diagnostic imaging*; D011859:Radiography; D015819:Substance Abuse, Intravenous / Q000150:complications* / Q000000981:diagnostic imaging