Intranasal Fentanyl Intoxication Leading to Diffuse Alveolar Hemorrhage
| Autor: | Hossein Sadrzadeh, Mark Yarema, Alain Tremblay, Michael B. Dunham, Shannon M. Ruzycki |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Health Toxicology and Mutagenesis medicine.medical_treatment Hemorrhage Toxicology Drug overdose Fentanyl Alberta Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Administration Inhalation medicine Intubation Intratracheal Intubation Humans 030212 general & internal medicine business.industry Diffuse alveolar hemorrhage Middle Aged medicine.disease Opioid-Related Disorders Combined Modality Therapy Surgery Analgesics Opioid Pulmonary Alveoli Treatment Outcome Opioid Respiratory failure Anesthesia Pulmonary hemorrhage Toxicology Observation Drug Overdose Powders Complication business Lung Diseases Interstitial Respiratory Insufficiency 030217 neurology & neurosurgery medicine.drug |
| Popis: | Increasing rates of opioid abuse, particularly fentanyl, may lead to more presentations of unusual effects of opioid toxicity. Diffuse alveolar hemorrhage is a rare complication of fentanyl overdose. A 45-year-old male presented in hypoxic respiratory failure secondary to diffuse alveolar hemorrhage requiring intubation. Comprehensive drug screening detected fentanyl without exposure to cocaine. Further history upon the patient’s recovery revealed exposure to snorted fentanyl powder immediately prior to presentation. Diffuse alveolar hemorrhage is a potential, though rare, presentation of opioid intoxication. Recognition of less common complications of opioid abuse such as diffuse alveolar hemorrhage is important in proper management of overdoses. |
| Databáze: | OpenAIRE |
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