Intravenous drug use: Difference between revisions
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*Complications | ==Background== | ||
*Complications of intravenous drug use span all organ systems (in addition to the [[Toxidromes]] related to the specific chemical used). | |||
==Complications by System== | ==Complications by System== | ||
===Cardiovascular=== | ===Cardiovascular=== | ||
*[[Endocarditis]] | *[[Endocarditis]] | ||
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*Pyomyositis | *Pyomyositis | ||
*Subcutaneous abscess | *Subcutaneous abscess | ||
===Pulmonary=== | ===Pulmonary=== | ||
*[[PE]] | *[[PE]] | ||
*Talcosis (trash lung | *Talcosis (trash lung) | ||
*Pulmonary hypertension | *Pulmonary hypertension | ||
*[[Pneumothorax]] | *[[Pneumothorax]] (usually due to injecting in neck vessels) | ||
===Skeletal=== | ===Skeletal=== | ||
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*[[Vertebral Osteomyelitis]] | *[[Vertebral Osteomyelitis]] | ||
*Sternal joint osteomyelitis | *Sternal joint osteomyelitis | ||
*[[DVT]] | |||
===Central Nervous System=== | ===Central Nervous System=== | ||
*[[Endocarditis]] | *[[Endocarditis]] | ||
*[[SAH]] | *[[SAH]] - especially with sympathomimetics such as methamphetamine and cocaine | ||
*Brain abscess | *Brain abscess | ||
*Subdural empyema | *Subdural empyema | ||
*[[Botulism]] | *[[Botulism]] - especially with "skin popping" of black tar heroine | ||
*[[CVA]] | *[[CVA]] | ||
===Ocular=== | ===Ocular=== | ||
*Fungal | *Fungal endophthalmitis | ||
*Amaurosis | *Amaurosis fugax | ||
===Hematogenous=== | ===Hematogenous=== | ||
*[[Sepsis]] | *[[Sepsis]] | ||
*[[Neutropenic Fever]] | *[[Neutropenic Fever]] | ||
*Neutropenia | *Neutropenia (esp. if using cocaine mixed with levimasole<ref>http://www.harmreductionjournal.com/content/6/1/30</ref>) | ||
===Infectious Disease=== | ===Infectious Disease=== | ||
*Cotton fever | *Cotton fever | ||
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*[[TB]] | *[[TB]] | ||
==References== | |||
<references/> | |||
[[Category:ID]] | [[Category:ID]] | ||
Latest revision as of 05:54, 9 August 2015
Background
- Complications of intravenous drug use span all organ systems (in addition to the Toxidromes related to the specific chemical used).
Complications by System
Cardiovascular
- Endocarditis
- ACS
- Aortic Dissection
- Pseudo aneurysm
Soft Tissue Infections
- Necrotizing fasciitis
- Pyomyositis
- Subcutaneous abscess
Pulmonary
- PE
- Talcosis (trash lung)
- Pulmonary hypertension
- Pneumothorax (usually due to injecting in neck vessels)
Skeletal
- Osteomyelitis
- Diskitis
- Epidural Abscess (Spinal)
- Vertebral Osteomyelitis
- Sternal joint osteomyelitis
- DVT
Central Nervous System
- Endocarditis
- SAH - especially with sympathomimetics such as methamphetamine and cocaine
- Brain abscess
- Subdural empyema
- Botulism - especially with "skin popping" of black tar heroine
- CVA
Ocular
- Fungal endophthalmitis
- Amaurosis fugax
Hematogenous
- Sepsis
- Neutropenic Fever
- Neutropenia (esp. if using cocaine mixed with levimasole[1])
Infectious Disease
- Cotton fever
- Occurs when cotton is used to filter drugs like heroin and due to the exotoxin from Pantoea agglomerans which colonizes cotton plants[2]
- HIV related
- TB
References
- ↑ http://www.harmreductionjournal.com/content/6/1/30
- ↑ D. W. Harrison et al."'Cotton Fever': a benign febrile syndrome in intravenous drug abusers", Journal of Emergency Medicine, March–April 1990, pp. 135-139