El-Yahchouchi Christine, Moussa Mohamad K, Khalaf Zaynab, Moussallem Charbel D
Anesthesiology, American University of Beirut Medical Center, Beirut, LBN.
Orthopedic Surgery, Lebanese Hospital Geitaoui, University Medical Center, Beirut, LBN.
Cureus. 2020 Aug 19;12(8):e9865. doi: 10.7759/cureus.9865.
We present a case of a 38-year-old female patient, presenting with debilitating simultaneous bilateral avascular necrosis of the femoral head (AVNFH) 10 years after cocaine detoxification, making her wheelchair-bound for six months. This case is reported for the rarity of association of cocaine with AVNFH, and for the unique fact of the simultaneous bilateral condition occurring a long time after cocaine ingestion in the absence of other important risk factors. This report postulates cocaine as a possible cause of bilateral AVNFH, which can increase the index of suspicion of this pathology, allowing early diagnosis and better outcomes.
我们报告一例38岁女性患者，在可卡因戒毒10年后出现双侧股骨头缺血性坏死（AVNFH），导致其衰弱，需轮椅辅助六个月。报告此病例是因其可卡因与AVNFH关联罕见，且在无其他重要风险因素的情况下，双侧同时发病距可卡因摄入时间较长这一独特情况。本报告推测可卡因可能是双侧AVNFH的病因，这可提高对此病症的怀疑指数，从而实现早期诊断并改善预后。
