Renal infarction after cocaine abuse: a case report and review.
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.
Hoefsloot
W
W
Departments of Internal Medicine, Rijnstate Hospital, Arnhem, The Netherlands. W.Hoefsloot@long.umcn.nl
de Vries
R A
RA
Bruijnen
R
R
Bosch
F H
FH
D000328:Adult; D019970:Cocaine-Related Disorders / Q000150:complications*; D006801:Humans; D007238:Infarction / Q000139:chemically induced*; D007668:Kidney / Q000098:blood supply*; D008297:Male