Mochizuki Y, Zhang M, Golestaneh L, Thananart S, Coco M
Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York 10467, USA.
Clin Nephrol. 2003 Aug;60(2):130-3. doi: 10.5414/cnp60130.
Emergency room visits related to cocaine use have been increasing over the past 10 years, with the cost of cocaine-related hospitalization now more than 80 million dollars per year. Well-recognized and common complications associated with cocaine use include hypertension, cardiac ischemia, cerebrovascular accidents and rhabdomyolysis. Renal infarction is uncommon, while aortic involvement is even less documented in literature. We present the first report of a case of renal infarction and aortic thrombus in a patient who used nasal cocaine. This case suggests that aortic pathology should be considered in patients presenting with renal infarction related to cocaine use.
在过去10年中，与可卡因使用相关的急诊室就诊人数一直在增加，目前与可卡因相关的住院费用每年超过8000万美元。与可卡因使用相关的公认且常见的并发症包括高血压、心脏缺血、脑血管意外和横纹肌溶解。肾梗死并不常见，而主动脉受累在文献中的记载甚至更少。我们报告了首例使用鼻吸可卡因的患者发生肾梗死和主动脉血栓形成的病例。该病例表明，对于出现与可卡因使用相关的肾梗死患者，应考虑主动脉病变。
