Acute pulmonary toxicity from crack cocaine: Difference between revisions
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==Background== | ==Background== | ||
*Also known as "crack lung" | |||
*Due to hemorrhagic alveolitis from inhalational cocaine use <ref>Forrester JM. Crack lung: an acute pulmonary syndrome with a spectrum of clinical and histopathologic findings. Am Rev Respir Dis. 1990;142(2):462-7.</ref> | *Due to hemorrhagic alveolitis from inhalational cocaine use <ref>Forrester JM. Crack lung: an acute pulmonary syndrome with a spectrum of clinical and histopathologic findings. Am Rev Respir Dis. 1990;142(2):462-7.</ref> | ||
==Clinical Features== | ==Clinical Features== | ||
*Most common symptoms are cough and shortness of breath | *Most common symptoms are cough and shortness of breath | ||
Revision as of 03:20, 22 May 2017
Background
- Also known as "crack lung"
- Due to hemorrhagic alveolitis from inhalational cocaine use [1]
Clinical Features
- Most common symptoms are cough and shortness of breath
- Others include:
- acute lung injury
- hypoxia
- chest pain
- hemoptysis
- fever
- focal infiltrates
- bronchospasm
Differential Diagnosis
- Acute pulmonary toxicity from crack cocaine (Crack lung)
- Acute eosinophilic pneumonia
- Acute respiratory distress syndrome
- Pulmonary embolism
- Congestive heart failure
- Pneumonia
- Acute coronary syndrome
Evaluation
- CXR
- May have eosinophilia, which suggests an immune mediated component[2]
Management
- Supportive care, maintain oxygenation and ventilation