Karen D. Novielli, MD; Christopher V. Chambers, MD
To the Editors: Cocaine has been implicated in ischemic injury to multiple organ systems. We report a case of splenic infarction temporally related to cocaine use.
A 38-year-old black woman presented to the emergency department with 2 days of left upper quadrant abdominal pain, nausea, and intractable vomiting. She reported having used intravenous cocaine, pentazocine, and methylphenidate a few hours before the onset of symptoms. She also had interstitial lung disease with pulmonary hypertension. She denied recent air travel or exposure to high altitudes. Except for a temperature of 37.6 °C and left upper quadrant abdominal tenderness, findings from the
Karen D. Novielli, Christopher V. Chambers. Splenic Infarction after Cocaine Use. Ann Intern Med. 1991;114:251–252. doi: 10.7326/0003-4819-114-3-251
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Published: Ann Intern Med. 1991;114(3):251-252.
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