Acute pulmonary toxicity from crack cocaine: Difference between revisions
| Line 23: | Line 23: | ||
*[[Acute coronary syndrome]] | *[[Acute coronary syndrome]] | ||
*[[Pneumothorax]] | *[[Pneumothorax]] | ||
*Subcutaneous emphysema / pneumomediastinum | *Subcutaneous emphysema / [[pneumomediastinum]] | ||
==Evaluation== | ==Evaluation== | ||
Revision as of 05:52, 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
- Pneumothorax
- Subcutaneous emphysema / pneumomediastinum
Evaluation
- CXR
- May have eosinophilia, which suggests an immune mediated component[2]
Management
- Supportive care, maintain oxygenation and ventilation