RAJESH C. PATEL, M.D.; DEEPA DUTTA, M.D.; STEVEN A. SCHONFELD, M.D.
Cocaine abuse is reaching epidemic proportions and its adverse health consequences are widespread (1). Although physiologic derangements have been shown in users of cocaine in "free-base" form (2, 3), to the best of our knowledge this case report is the first clinical and pathologic description of pulmonary toxicity associated with the use of free-base cocaine manifested as bronchiolitis obliterans organizing pneumonia.
A previously healthy 32-year-old man with a 10-day history of nonproductive cough, fever, and dyspnea unresponsive to tetracycline and antitussives was hospitalized. He denied toxic exposures, homosexuality, or travel. He smoked a half pack of cigarettes per day for
PATEL RC, DUTTA D, SCHONFELD SA. Free-Base Cocaine Use Associated with Bronchiolitis Obliterans Organizing Pneumonia. Ann Intern Med. ;107:186–187. doi: 10.7326/0003-4819-107-2-186
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Published: Ann Intern Med. 1987;107(2):186-187.
Infectious Disease, Interstitial Lung Disease, Pulmonary/Critical Care, Tobacco, Alcohol, and Other Substance Abuse.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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