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Case Reports
. 1994 Oct;49(10):1038-40.
doi: 10.1136/thx.49.10.1038.

Delayed resolution of pulmonary oedema after cocaine/heroin abuse

P G Raijmakers  1 , A B Groeneveld, M C de Groot, G J Teule, L G Thijs
Affiliations
Case Reports

Delayed resolution of pulmonary oedema after cocaine/heroin abuse

P G Raijmakers et al. Thorax. 1994 Oct.

Abstract

Pulmonary oedema lasting six days occurred in a 68 year old man after sniffing cocaine. He also had evidence of parenteral self-administration of heroin. Pulmonary microvascular filtration pressure and permeability were normal. Delayed resolution of the pulmonary oedema may have been caused by a cocaine-induced impairment of sodium and thus fluid transport across alveolar epithelium. Recognition may be important, since lowering filtration pressure with diuretics may not hasten resolution of oedema.

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