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Case Reports
. 2019 Dec 20:19:e00688.
doi: 10.1016/j.idcr.2019.e00688. eCollection 2020.

Cotton fever resulting in Enterobacter asburiae endocarditis

Munib J Francis  1 , Justin Chin  1 , Christine M Lomiguen  2 , Allison Glaser  3
Affiliations
Case Reports

Cotton fever resulting in Enterobacter asburiae endocarditis

Munib J Francis et al. IDCases. .

Abstract

"Cotton fever" is described as a self-limiting illness following "cotton shooting," the practice of injecting residual drugs extracted from previously used cotton filters. Cases of related Enterobacter agglomerans bacteremia have been described. We report the first described case of cotton fever in a patient resulting in Enterobacter asburiae endocarditis.

Keywords: Bacteremia; Cotton fever; Endocarditis; Enterobacter; Injection drug use; Withdrawal.

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Conflict of interest statement

The authors disclose that there were no conflicts of interest or financial support in the development of this project.

Figures

Fig. 1
Fig. 1
Schematic of IV drug use and cotton shooting. (A) Many IV drugs, such as cocaine and heroin, are heated prior to use. (B) The resulting product is filtered through cotton balls to sift out any large particles or debris (C) Syringes are typically used for intravenous injection. (B*) When drug supply decreases, IVDUs may resort to “cotton shooting”, which is the process of injecting trace amounts of drugs that are extracted from previously used cotton filters. IVDUs have described cotton fever as a transient elevation in core body temperature of 2–4 degrees that occurs within minutes after injection.
See this image and copyright information in PMC

References

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