可卡因：左侧肾梗死的罕见病因。

Hirachan Padam, Agarwal Ravindra, Wagner Brent

Agarwal Nephrology and Hypertension PC, Columbus, GA, USA.

University of Texas Health Science Center at San Antonio, TX, USA.

J Investig Med High Impact Case Rep. 2015 Mar 16;3(1):2324709615574907. doi: 10.1177/2324709615574907. eCollection 2015 Jan-Mar.

Cocaine abuse is commonly associated with myocardial ischemia, mesenteric ischemia, and cerebrovascular accidents. Renal infarction is an uncommon complication of cocaine abuse. Various mechanisms have been postulated for this cocaine-related injury. There are only 15 cases reported on cocaine-induced renal infarction. Among the cases with available data, very few cases had left kidney involvement. We report a case of a 65-year-old African American man with history of cocaine abuse who presented with left flank pain and had left renal infarction.

可卡因滥用通常与心肌缺血、肠系膜缺血和脑血管意外有关。肾梗死是可卡因滥用的一种罕见并发症。对于这种与可卡因相关的损伤，已经提出了各种机制。关于可卡因诱发的肾梗死仅报道了15例。在有可用数据的病例中，很少有病例累及左肾。我们报告一例65岁有可卡因滥用史的非裔美国男性，他因左侧胁腹疼痛就诊，被诊断为左肾梗死。