title: Cocaine-induced diffuse alveolar hemorrhage: A case report and review of the literature.
abstract: Cocaine is one of the most commonly abused drugs in the United States. Ingestion of cocaine may result in a wide array of disease processes due to its stimulant properties, contaminants, or to downstream effects, such as myo- cardial infarction, stroke, or cardiac arrest. Pulmonary complaints are common in patients seeking treatment for cocaine-associated medical problems and include acute eosinophilic pneumonia, pneumothorax, pneumomediastium, diffuse alveolar hemorrhage (DAH), pulmonary hypertension and granulomatosis. We present a case of DAH due to cocaine abuse and rapid resolution with mechanical ventilation and supportive care. [Full article available at http://rimed.org/rimedicaljournal-2016-08.asp, free with no login].
authors.affiliation: Assistant Professor of Medicine in the Division of Pulmonary and Critical Care Medicine, the Warren Alpert Medical School of Brown University, Providence, RI.
authors.forename: Kevin M
authors.initials: KM
authors.lastname: Dushay
authors.affiliation: Instructor in Medicine in the Division of Pulmonary and Critical Care Medicine, the Warren Alpert Medical School of Brown University, Providence, RI.
authors.forename: Samuel K
authors.initials: SK
authors.lastname: Evans
authors.affiliation: medical student at the B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
authors.forename: Subash
authors.initials: S
authors.lastname: Ghimire
authors.affiliation: Warren Alpert Medical School of Brown University, Providence, RI.
authors.forename: Joy
authors.initials: J
authors.lastname: Liu
mesh_terms: D000328:Adult; D003042:Cocaine / Q000009:adverse effects*; D019970:Cocaine-Related Disorders / Q000150:complications*; D006470:Hemorrhage / Q000139:chemically induced*; D006801:Humans; D008020:Life Support Care; D008168:Lung / Q000000981:diagnostic imaging*; D008297:Male; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000628:therapy*; D014057:Tomography, X-Ray Computed
chemical_list: D003042:Cocaine
keywords: cocaine; crack; diffuse alveolar hemorrhage; respiratory failure