TY - JOUR
T1 - Thoracic complications of illicit drug use
T2 - An organ system approach
AU - Gotway, Michael B.
AU - Marder, Shelley R.
AU - Hanks, Douglas K.
AU - Leung, Jessica W.T.
AU - Dawn, Samuel K.
AU - Gean, Alisa D.
AU - Reddy, Gautham P.
AU - Araoz, Philip A.
AU - Webb, W. Richard
PY - 2002
Y1 - 2002
N2 - Illicit drug use constitutes a major health problem and may be associated with various thoracic complications. These complications vary depending on the specific drug used and the route of administration. Commonly abused drugs that may play a role in causing thoracic disease include cocaine, opiates, and methamphetamine derivatives. Intravenously abused oral medications may contain filler agents that may be responsible for disease. Thoracic complications may be categorized as pulmonary, pleural, mediastinal, cardiovascular, and chest wall complications. Pulmonary complications of drug abuse include pneumonia, cardiogenic edema, acute lung injury, pulmonary hemorrhage, and aspiration pneumonia. Filler agents such as talc may result in panacinar emphysema or high-attenuation upper-lobe conglomerate masses. The primary pleural complication of illicit drug use is pneumothorax. Mediastinal and cardiovascular complications of illicit drug use include pneumomediastinum, cardiomyopathy, myocardial infarction, aortic dissection, and injection-related pseudoaneurysms. Chest wall complications include diskitis and vertebral osteomyelitis, epidural abscess, necrotizing fasciitis, costochondritis, and septic arthritis. Categorization of thoracic complications of illicit drug use may facilitate understanding of these disorders and allow accurate diagnosis.
AB - Illicit drug use constitutes a major health problem and may be associated with various thoracic complications. These complications vary depending on the specific drug used and the route of administration. Commonly abused drugs that may play a role in causing thoracic disease include cocaine, opiates, and methamphetamine derivatives. Intravenously abused oral medications may contain filler agents that may be responsible for disease. Thoracic complications may be categorized as pulmonary, pleural, mediastinal, cardiovascular, and chest wall complications. Pulmonary complications of drug abuse include pneumonia, cardiogenic edema, acute lung injury, pulmonary hemorrhage, and aspiration pneumonia. Filler agents such as talc may result in panacinar emphysema or high-attenuation upper-lobe conglomerate masses. The primary pleural complication of illicit drug use is pneumothorax. Mediastinal and cardiovascular complications of illicit drug use include pneumomediastinum, cardiomyopathy, myocardial infarction, aortic dissection, and injection-related pseudoaneurysms. Chest wall complications include diskitis and vertebral osteomyelitis, epidural abscess, necrotizing fasciitis, costochondritis, and septic arthritis. Categorization of thoracic complications of illicit drug use may facilitate understanding of these disorders and allow accurate diagnosis.
KW - Drugs, abuse, 47.64, 50.64, 60.64
KW - Drugs, side effects, 47.64, 50.64, 60.64
KW - Lung, effects of drugs on, 60.21, 60.214, 60.64, 60.71, 60.751
KW - Mediastinum, diseases, 67.735
KW - Pericardium, abnormalities, 55.823
KW - Pleura, diseases, 66.73
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U2 - 10.1148/radiographics.22.suppl_1.g02oc01s119
DO - 10.1148/radiographics.22.suppl_1.g02oc01s119
M3 - Article
C2 - 12376606
AN - SCOPUS:1842509554
SN - 1527-1323
VL - 22
SP - s119-s135
JO - Radiographics
JF - Radiographics
IS - SPEC. ISS
ER -