Bilateral pneumothorax, lung cavitations, and pleural empyema in a cocaine addict.
A case of bilateral pneumothorax, lung cavitations, and pleural empyema in a cocaine user is described. The patient was treated by left tube thoracostomy and right lower lobectomy. The postoperative course was uneventful. Six months later, the patient remains asymptomatic. The pathology examination of the specimen revealed infected bronchiectasis, interstitial desquamative pneumonia, diffuse alveolar damage, subsegmental arterial thrombosis, and consequent areas of pulmonary infarction.
Solaini
Leonardo
L
Second Surgical Department, 401 General Army Hospital of Athens, Athens, Greece.
Solini
Leonardo
L
Gourgiotis
Stavros
S
Salemis
Nikolaos S
NS
Koukis
Ioannis
I
D000280:Administration, Inhalation; D000328:Adult; D001987:Bronchiectasis / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D000697:Central Nervous System Stimulants / Q000009:adverse effects; D003042:Cocaine / Q000008:administration & dosage / Q000009:adverse effects*; D019970:Cocaine-Related Disorders / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D016724:Empyema, Pleural / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D011013:Pneumonectomy; D011030:Pneumothorax / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D054060:Pulmonary Infarction / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted; D013907:Thoracostomy; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014662:Vasoconstrictor Agents / Q000008:administration & dosage / Q000009:adverse effects*
D000697:Central Nervous System Stimulants; D014662:Vasoconstrictor Agents; D003042:Cocaine