|Title:||Acute respiratory distress syndrome in a woman with heroin and methamphetamine misuse||Authors:||Yeh P.-S.
|Issue Date:||2001||Journal Volume:||100||Journal Issue:||8||Start page/Pages:||553-556||Source:||Journal of the Formosan Medical Association||Abstract:||
Methamphetamine, heroin, and cannabis are three of the most commonly misused drugs in Asia. In Taiwan, cases of misuse of methamphetamine have been increasing. In this paper, we report the case of a 23-year-old woman who had a 10-year history of smoking methamphetamine and intermittent use of heroin for 3 to 4 years. She developed pulmonary toxic effects associated with misuse of heroin and methamphetamine. She was brought to the emergency room because of consciousness disturbance and acute respiratory failure. Her symptoms of rapid progression of refractory hypoxemia, ill-defined densities over both lung fields, and normal pulmonary artery wedge pressure were consistent with acute respiratory distress syndrome. Rapid resolution of infiltrations and improvement of oxygenation were observed after mechanical ventilation with positive end-expiratory pressure support and oxygen therapy. She was discharged on the fifteenth hospital day without any sequela except for mild exertional dyspnea.
|ISSN:||0929-6646||SDG/Keyword:||amoxicillin; cannabis; clavulanic acid; diamorphine; gentamicin; methamphetamine; oxygen; acute disease; adult; article; artificial ventilation; Asia; blood oxygenation; case report; clinical observation; consciousness disorder; disease course; drug misuse; dyspnea; emergency ward; female; Glasgow coma scale; hospital discharge; human; hypoxemia; lung infiltrate; lung toxicity; lung wedge pressure; oxygen therapy; positive end expiratory pressure; respiratory distress syndrome; respiratory failure; smoking; symptom; Taiwan; thorax radiography; Adult; Female; Heroin Dependence; Humans; Methamphetamine; Respiratory Distress Syndrome, Adult; Substance-Related Disorders
|Appears in Collections:||醫學系|
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