title: Renal infarction after cocaine abuse: a case report and review.
abstract: A 36-year-old male presented with sudden pain in the left lower abdomen caused by a left renal infarction. Cocaine metabolites were found in the urine and a cocaine-induced renal infarction was diagnosed. Cocaine-induced renal infarction is not frequently reported in the literature. Pathophysiologic mechanisms include direct cocaine-induced platelet activation in combination with vasoconstriction and endothelial damage. There is no proven therapy for this complication.
authors.affiliation: Departments of Internal Medicine, Rijnstate Hospital, Arnhem, The Netherlands. W.Hoefsloot@long.umcn.nl
authors.forename: W
authors.initials: W
authors.lastname: Hoefsloot
authors.forename: R A
authors.initials: RA
authors.lastname: de Vries
authors.forename: R
authors.initials: R
authors.lastname: Bruijnen
authors.forename: F H
authors.initials: FH
authors.lastname: Bosch
mesh_terms: D000328:Adult; D019970:Cocaine-Related Disorders / Q000150:complications*; D006801:Humans; D007238:Infarction / Q000139:chemically induced*; D007668:Kidney / Q000098:blood supply*; D008297:Male