Pulmonary embolism and deep vein thrombosis caused by nitrous oxide abuse: A case report
| Autor: | Wen Sun, Wei Zhang, Jing Ma, Jiping Liao, Yan Hu, Guang-Fa Wang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Hyperhomocysteinemia Homocysteine Deep vein 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Internal medicine Deep vein thrombosis Case report Acute chest pain Medicine Nitrous oxide business.industry Pulmonary embolism General Medicine medicine.disease equipment and supplies Psychological dependence Thrombosis medicine.anatomical_structure chemistry 030220 oncology & carcinogenesis Cardiology 030211 gastroenterology & hepatology business |
| Zdroj: | World Journal of Clinical Cases |
| ISSN: | 2307-8960 |
| Popis: | Background Nitrous oxide (N2O) has gained increasing popularity as a recreational drug, causing hallucinations, excitation, and psychological dependence. However, side effects have been reported in recent years. Our case report proposes a correlation among N2O, pulmonary embolism (PE), and deep vein thrombosis (DVT) and emphasizes the role of homocysteine (Hcy) in thrombotic events. Case summary A 29-year-old man with long-term N2O abuse sought evaluation after acute chest pain. A diagnostic workup revealed PE, DVT, and hyperhomocysteinemia. The patient was successfully treated with thrombolytic and anticoagulant therapy. Moreover, his Hcy level decreased and returned to normal after Hcy-lowering therapy. Conclusion Chronic N2O abuse might increase the risk of PE and DVT, although there have been few studies previously. |
| Databáze: | OpenAIRE |
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