Mançano Alexandre, Marchiori Edson, Zanetti Gláucia, Escuissato Dante Luiz, Duarte Beatriz Cunha, Apolinário Lourenço de Araujo
Taguatinga Regional Hospital, Taguatinga, Brazil.
J Bras Pneumol. 2008 May;34(5):323-7. doi: 10.1590/s1806-37132008000500012.
Here, we report high-resolution computed tomography (HRCT) findings in a patient who developed sudden hemoptysis, dyspnea and chest pain after smoking crack cocaine. Chest X-rays showed consolidations, primarily in the upper lobes, and HRCT scans showed ground glass attenuation opacities, consolidations and air-space nodules. A follow-up CT, after drug use discontinuation and administration of corticosteroids, showed partial resolution of pulmonary lesions and the appearance of cavitations. Clinical, imaging and laboratory findings led to a diagnosis of 'crack lung'.
在此，我们报告了一名吸食快克可卡因后突发咯血、呼吸困难和胸痛患者的高分辨率计算机断层扫描（HRCT）结果。胸部X线显示主要在上叶有实变，HRCT扫描显示磨玻璃样密度影、实变和肺泡结节。在停用药物并给予皮质类固醇治疗后的随访CT显示肺部病变部分消退，并出现空洞。临床、影像学和实验室检查结果导致诊断为“快克肺”。
