Claude Scheidegger, MD; Jolanta Pietrzak, MD; Reno Frei, MD
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To the Editors: Fresh lemon juice, used as a solvent for the brown "Iranian" heroin and other poorly soluble drugs, is a recognized source of disseminated candidiasis in intravenous drug users (1). Candida albicans has also been isolated from lemon juice preserved in plastic lemon-shaped containers from which the sulfur-dioxide preservative had evaporated because the juice was kept beyond the recommended consumption date (2, 3). We report the cases of two drug users who presented with disseminated candidiasis and who had apparently not used lemon juice.
A 36-year-old, HIV-negative heroin user who was receiving oral methadone presented with lesions characteristic
Scheidegger C, Pietrzak J, Frei R. Disseminated Candidiasis after Intravenous Use of Oral Methadone. Ann Intern Med. 1991;115:576. doi: 10.7326/0003-4819-115-7-576_1
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Published: Ann Intern Med. 1991;115(7):576.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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