Bulathsinghala Chinthaka P, De Silva Palla Rivi, Dadhwal Rahul, Taweesedt Pahnwat T, Surani Salim
Internal Medicine, University of Incarnate Word School of Osteopathic Medicine, San Antonio, USA.
Pulmonary Critical Care, University of Incarnate Word School of Osteopathic Medicine, San Antonio, USA.
Cureus. 2021 Feb 10;13(2):e13267. doi: 10.7759/cureus.13267.
Inhalation of cocaine derivatives is associated with a number of pulmonary and systemic complications. We report a case of less recognized complication, the aspiration of a metallic object used as a screen for crack cocaine abuse. A 42-year-old female presented with a two-day history of gradually worsening cough and a history of "food aspiration." Her lung examination revealed wheezing and fine crackles with diminished air entry at the left base. A chest X-ray revealed an 8 mm radiopaque foreign body overlying the region of the left lower lobe bronchus, with a confirmatory computed tomography scan of the chest. An urgent bronchoscopy revealed a metallic foreign body impacted into the left lower lobe bronchus proper, soon after the takeoff of the superior segment, which was removed with forceps. The patient signed out against medical advice soon after. Though relatively uncommon, this case highlights a possible complication associated with crack cocaine abuse that may require emergent intervention.
吸入可卡因衍生物会引发多种肺部和全身并发症。我们报告一例较少被认识到的并发症，即吸入用于吸食快克可卡因的金属筛网。一名42岁女性，有两天来咳嗽逐渐加重的病史及“食物误吸”史。肺部检查发现有哮鸣音和细湿啰音，左肺底部呼吸音减弱。胸部X线显示左肺下叶支气管区域有一个8毫米不透X线的异物，胸部计算机断层扫描予以证实。紧急支气管镜检查发现一个金属异物嵌顿在左肺下叶支气管起始部上方的上段，用钳子将其取出。患者随后自行签字拒绝治疗离院。尽管相对少见，但该病例凸显了与快克可卡因滥用相关的一种可能需要紧急干预的并发症。
