Intravenous drug use
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- Complications in the Intravenous drug using population spans all organ systems in addition to the Toxidromes related to used chemical.
Complications by System
Cardiovascular
- Endocarditis
- ACS
- Aortic Dissection
- Pseudo aneurysm
Soft Tissue Infections
- Necrotizing fasciitis
- Pyomyositis
- Subcutaneous abscess
- DVT
Pulmonary
- PE
- Talcosis (trash lung
- Pulmonary hypertension
- Pneumothorax
- from injecting in neck veins
Skeletal
- Osteomyelitis
- Diskitis
- Epidural Abscess (Spinal)
- Vertebral Osteomyelitis
- Sternal joint osteomyelitis
Central Nervous System
- Endocarditis
- SAH
- especially with sympathomimetics such as Meth 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
- especially 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
Sources
- ↑ 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