Historique
Article de Périodique
Hypersensitivity pneumonitis induced by intranasal heroin use (1999)
(Hypersensibilité pneumonique induite par un usage intranasal d'héroïne)
Auteur(s) :
KARNE S. ;
D'AMBROSIO C. ;
EINARSSON O. ;
O'CONNOR, P. G.
Année
1999
Page(s) :
392-395
Langue(s) :
Anglais
Refs biblio. :
12
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
HEROINE
;
VOIE NASALE
;
PATHOLOGIE ORGANIQUE
;
APPAREIL RESPIRATOIRE
;
PNEUMOPATHIE
;
ETUDE DE CAS
Résumé :
FRANÇAIS :
Les auteurs décrivent le cas d'une femme de 25 ans, consommant de l'héroïne par voie nasale, hospitalisée pour des troubles pulmonaires : respiration sifflante, spasme bronchique, fièvre, toux. Le diagnostic d'hypersensibilité a été établi sur divers critères : les symptômes, l'usage d'héroïne, la tomographie pulmonaire, la biopsie et le déclenchement de la symptomatique après usage répété de l'héroïne.
ENGLISH :
Very little is known about the consequences of the intranasal use of illicit drugs other than cocaine. Recent evidence indicates that intranasal drug use is increasing, perhaps due to the fear of infection with the human immunodeficiency virus (HIV) through intravenous drug use, and the perceived safety of intranasal use In this report, we describe a young woman who had been labeled on many occasions for nearly 3 years as having bronchospasm when she presented to the emergency room with shortness of breath and wheezing. She eventually acknowledged that her shortness of breath and wheezing occurred when she used heroin by the intranasal route. Upon further evaluation, we determined that she suffered from a severe interstitial lung disease, presumed to be secondary to heroin use, that was easily reversible with a course of corticosteroids and cessation of drug use.
Les auteurs décrivent le cas d'une femme de 25 ans, consommant de l'héroïne par voie nasale, hospitalisée pour des troubles pulmonaires : respiration sifflante, spasme bronchique, fièvre, toux. Le diagnostic d'hypersensibilité a été établi sur divers critères : les symptômes, l'usage d'héroïne, la tomographie pulmonaire, la biopsie et le déclenchement de la symptomatique après usage répété de l'héroïne.
ENGLISH :
Very little is known about the consequences of the intranasal use of illicit drugs other than cocaine. Recent evidence indicates that intranasal drug use is increasing, perhaps due to the fear of infection with the human immunodeficiency virus (HIV) through intravenous drug use, and the perceived safety of intranasal use In this report, we describe a young woman who had been labeled on many occasions for nearly 3 years as having bronchospasm when she presented to the emergency room with shortness of breath and wheezing. She eventually acknowledged that her shortness of breath and wheezing occurred when she used heroin by the intranasal route. Upon further evaluation, we determined that she suffered from a severe interstitial lung disease, presumed to be secondary to heroin use, that was easily reversible with a course of corticosteroids and cessation of drug use.
Affiliation :
Department of Medicine (PEM), Division of Critical Care, Washington Hospital Center, Washington, DC, USA