Acute pulmonary toxicity from crack cocaine: Difference between revisions
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==Differential Diagnosis== | ==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== | ==Evaluation== | ||
Revision as of 03:12, 22 May 2017
Background
- 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