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Case Reports
. 2016 Jul;29(3):288-9.
doi: 10.1080/08998280.2016.11929438.

Hydrocodone snorting leading to hypersensitivity pneumonitis

Lakshmi Kant Pathak  1 , Vimala Vijayaraghavan  1
Affiliations
Case Reports

Hydrocodone snorting leading to hypersensitivity pneumonitis

Lakshmi Kant Pathak et al. Proc (Bayl Univ Med Cent). 2016 Jul.

Abstract

We present a case of hypersensitivity pneumonitis caused by intranasal abuse of the prescription narcotic hydrocodone. The patient's clinical course was complicated by acute respiratory failure. A chest radiograph showed diffuse bilateral opacities. The patient was treated with noninvasive ventilation, a high dose of intravenous steroids, and bronchodilators, resulting in improvement of symptoms and radiographic appearance.

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Figures

Figure 1.
Figure 1.
Chest radiograph showing a diffuse alveolar infiltrate with an associated reticular pattern.
Figure 2.
Figure 2.
High-resolution computed tomography showing a ground-glass appearance in both lungs.
See this image and copyright information in PMC

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