Cocaine-Induced Ventilation/Perfusion Mismatch Mimicking Pulmonary Embolism
Pulmonary complications from cocaine use can range from bronchospasm to vasospasm leading to pulmonary infarction. Profound vasospasm may also lead to perfusion defects presenting as pulmonary embolism on ventilation-perfusion scan. A 65-year-old patient with a past medical history of substance abus...
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| Published in | JIM - high impact case reports Vol. 8; p. 2324709620906962 |
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| Main Authors | , , |
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| Language | English |
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SAGE Publications
2020
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| Abstract | Pulmonary complications from cocaine use can range from bronchospasm to vasospasm leading to pulmonary infarction. Profound vasospasm may also lead to perfusion defects presenting as pulmonary embolism on ventilation-perfusion scan. A 65-year-old patient with a past medical history of substance abuse and chronic kidney disease presents to the emergency department with sudden-onset chest pain and shortness of breath. Ventilation-perfusion scan revealed filling defect most notably in the lingual lobe. He was later discharged on warfarin for the management of pulmonary embolism. The patient presented to the emergency department 2 weeks later with similar complaints; the international normalized ratio was subtherapeutic, and urine drug screen was positive for cocaine. Repeat ventilation-perfusion scan revealed no filling defects. Follow-up bilateral venous Doppler of lower extremities and D-dimer were within normal limits. |
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| AbstractList | Pulmonary complications from cocaine use can range from bronchospasm to vasospasm leading to pulmonary infarction. Profound vasospasm may also lead to perfusion defects presenting as pulmonary embolism on ventilation-perfusion scan. A 65-year-old patient with a past medical history of substance abuse and chronic kidney disease presents to the emergency department with sudden-onset chest pain and shortness of breath. Ventilation-perfusion scan revealed filling defect most notably in the lingual lobe. He was later discharged on warfarin for the management of pulmonary embolism. The patient presented to the emergency department 2 weeks later with similar complaints; the international normalized ratio was subtherapeutic, and urine drug screen was positive for cocaine. Repeat ventilation-perfusion scan revealed no filling defects. Follow-up bilateral venous Doppler of lower extremities and D-dimer were within normal limits. |
| Author | Abe, Temidayo Fas, Norberto Surapaneni, Phani Keerthi |
| AuthorAffiliation | 1 Morehouse School of Medicine, Atlanta, GA, USA |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32054344$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/S1054-8807(01)00074-6 10.4103/ijnm.IJNM_60_18 10.15406/jlprr.2017.04.00121 10.2459/JCM.0000000000000511 10.1161/CIRCULATIONAHA.110.940569 10.1165/rcmb.2010-0097OC 10.1097/00003072-200411000-00028 10.1080/10550887.2013.795469 10.1161/ATVBAHA.113.301436 10.1097/00003072-199501000-00016 10.12659/AJCR.894565 10.1016/0002-9343(91)90080-H 10.1001/jama.1990.03440200057023 10.1016/j.ejim.2016.01.009 10.1126/sciadv.aax1532 10.1007/s10067-004-0929-0 10.1093/jat/bky007 10.1161/01.CIR.105.13.1529 10.2484/rcr.v7i3.714 10.1053/j.semnuclmed.2010.07.002 |
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| Copyright | 2020 American Federation for Medical Research 2020 American Federation for Medical Research. This work is licensed under the Creative Commons Attribution License https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2020 American Federation for Medical Research 2020 American Federation for Medical Research |
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| Keywords | pulmonary embolism cocaine V/Q scan |
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| Notes | ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 Phani Keerthi Surapaneni and Temidayo Abe equally contributed to this case report and are both first authors. |
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| References | Mendelson, Train, Goldsmith, Efremidis 1981; 22 Akwe 2017; 4 Steinhauer, Caulfield 2001; 10 Bajc, Neilly, Miniati, Mortensen, Jonson 2010; 40 Kampman 2019; 5 Talarico, Crosta, Giannico, Summaria, Calò, Patrizi 2017; 18 Dhillon, Li, Xue 2011; 45 Coe, Jufer Phipps, Cone, Walsh 2018; 42 Delaney, Hoffman 1991; 91 Hitchen, James, Thachil 2016; 32 Hobbs, Moore, Penkala, Bolgiano, López 2013; 33 Bowman, Albers, Jain 2018; 33 Schwartz, Rezkalla, Kloner 2010; 122 Eagle, Isselbacher, Desanctis 2002; 105 Caponnetto, Auditore, Russo 2013; 32 Hart, Newell, Davis 1989; 40 Sharma, Kumar, Rizkallah, Cappelluti, Padmanabhan 2019; 11 Smith, Mcclaughry, Purkey, Thompson 1995; 20 Monroe, Tailor, McNeeley, Lehnert 2012; 7 Alqahtani, Burger, Potolicchio 2015; 16 1990; 263 Shlomai, Hershko, Gabbay, Ben-Chetrit 2004; 23 Ramachandaran, Khan, Dadaparvar, Sherman 2004; 29 bibr9-2324709620906962 bibr21-2324709620906962 bibr4-2324709620906962 Hart BL (bibr15-2324709620906962) 1989; 40 bibr2-2324709620906962 bibr1-2324709620906962 bibr23-2324709620906962 bibr18-2324709620906962 Mendelson DS (bibr20-2324709620906962) 1981; 22 bibr10-2324709620906962 bibr5-2324709620906962 bibr16-2324709620906962 bibr12-2324709620906962 bibr7-2324709620906962 bibr14-2324709620906962 Sharma T (bibr13-2324709620906962) 2019; 11 bibr19-2324709620906962 bibr3-2324709620906962 bibr22-2324709620906962 bibr6-2324709620906962 bibr17-2324709620906962 bibr11-2324709620906962 bibr8-2324709620906962 |
| References_xml | – volume: 22 start-page: 1062 year: 1981 end-page: 1063 article-title: Ventilation-perfusion mismatch due to obstruction of pulmonary vein publication-title: J Nucl Med contributor: fullname: Efremidis – volume: 32 start-page: e26 year: 2016 end-page: e27 article-title: Ventilation perfusion scan or computed tomography pulmonary angiography for the detection of pulmonary embolism? publication-title: Eur J Int Med contributor: fullname: Thachil – volume: 33 start-page: 312 year: 2018 end-page: 316 article-title: Acquired whole-lung mismatched perfusion defects on pulmonary ventilation/perfusion scintigraphy publication-title: Indian J Nucl Med contributor: fullname: Jain – volume: 42 start-page: 285 year: 2018 end-page: 292 article-title: Bioavailability and pharmacokinetics of oral cocaine in humans publication-title: J Anal Toxicol contributor: fullname: Walsh – volume: 45 start-page: 40 year: 2011 end-page: 52 article-title: Effect of cocaine on human immunodeficiency virus-mediated pulmonary endothelial and smooth muscle dysfunction publication-title: Am J Respir Cell Mol Biol contributor: fullname: Xue – volume: 18 start-page: 291 year: 2017 end-page: 294 article-title: Cocaine and coronary artery diseases: a systematic review of the literature publication-title: J Cardiovasc Med (Hagerstown) contributor: fullname: Patrizi – volume: 10 start-page: 141 year: 2001 end-page: 145 article-title: Spontaneous coronary artery dissection associated with cocaine use: a case report and brief review publication-title: Cardiovasc Pathol contributor: fullname: Caulfield – volume: 91 start-page: 92 year: 1991 end-page: 94 article-title: Pulmonary infarction associated with crack cocaine use in a previously healthy 23-year-old woman publication-title: Am J Med contributor: fullname: Hoffman – volume: 23 start-page: 470 year: 2004 end-page: 472 article-title: Clinical and radiographic features mimicking pulmonary embolism as the first manifestation of Takayasu’s arteritis publication-title: Clin Rheumatol contributor: fullname: Ben-Chetrit – volume: 33 start-page: 1230 year: 2013 end-page: 1237 article-title: Cocaine and specific cocaine metabolites induce von Willebrand factor release from endothelial cells in a tissue-specific manner publication-title: Arterioscler Thromb Vasc Biol contributor: fullname: López – volume: 5 year: 2019 article-title: The treatment of cocaine use disorder publication-title: Sci Adv contributor: fullname: Kampman – volume: 40 start-page: 415 year: 2010 end-page: 425 article-title: Methodology for ventilation/perfusion SPECT publication-title: Semin Nucl Med contributor: fullname: Jonson – volume: 40 start-page: 326 year: 1989 end-page: 327 article-title: Pulmonary needle embolism from intravenous drug abuse publication-title: Can Assoc Radiol J contributor: fullname: Davis – volume: 20 start-page: 65 year: 1995 end-page: 68 article-title: Crack cocaine mimicking pulmonary embolism on pulmonary ventilation/perfusion lung scan. A case report publication-title: Clin Nucl Med contributor: fullname: Thompson – volume: 263 start-page: 2753 year: 1990 end-page: 2759 article-title: Value of the ventilation/perfusion scan in acute pulmonary embolism. Results of the prospective investigation of pulmonary embolism diagnosis (PIOPED) publication-title: JAMA – volume: 7 start-page: 714 year: 2012 article-title: Needle embolism in intravenous drug abuse publication-title: Radiol Case Rep contributor: fullname: Lehnert – volume: 29 start-page: 756 year: 2004 end-page: 757 article-title: Inhalation of crack cocaine can mimic pulmonary embolism publication-title: Clin Nucl Med contributor: fullname: Sherman – volume: 122 start-page: 2558 year: 2010 end-page: 2569 article-title: Cardiovascular effects of cocaine publication-title: Circulation contributor: fullname: Kloner – volume: 32 start-page: 158 year: 2013 end-page: 167 article-title: “Dangerous relationships”: asthma and substance abuse publication-title: J Addict Dis contributor: fullname: Russo – volume: 105 start-page: 1529 year: 2002 end-page: 1530 article-title: Cocaine-related aortic dissection in perspective publication-title: Circulation contributor: fullname: Desanctis – volume: 16 start-page: 393 year: 2015 end-page: 397 article-title: Cocaine-induced acute fatal basilar artery thrombosis: report of a case and review of the literature publication-title: Am J Case Rep contributor: fullname: Potolicchio – volume: 11 start-page: e4700 year: 2019 article-title: Cocaine-induced thrombosis: review of predisposing factors, potential mechanisms, and clinical consequences with a striking case report publication-title: Cureus contributor: fullname: Padmanabhan – volume: 4 start-page: 00121 year: 2017 article-title: Pulmonary effects of cocaine use publication-title: J Lung Pulm Respir Res contributor: fullname: Akwe – volume: 11 start-page: e4700 year: 2019 ident: bibr13-2324709620906962 publication-title: Cureus contributor: fullname: Sharma T – volume: 40 start-page: 326 year: 1989 ident: bibr15-2324709620906962 publication-title: Can Assoc Radiol J contributor: fullname: Hart BL – ident: bibr8-2324709620906962 doi: 10.1016/S1054-8807(01)00074-6 – ident: bibr21-2324709620906962 doi: 10.4103/ijnm.IJNM_60_18 – ident: bibr4-2324709620906962 doi: 10.15406/jlprr.2017.04.00121 – ident: bibr10-2324709620906962 doi: 10.2459/JCM.0000000000000511 – ident: bibr2-2324709620906962 doi: 10.1161/CIRCULATIONAHA.110.940569 – ident: bibr12-2324709620906962 doi: 10.1165/rcmb.2010-0097OC – ident: bibr23-2324709620906962 doi: 10.1097/00003072-200411000-00028 – ident: bibr5-2324709620906962 doi: 10.1080/10550887.2013.795469 – ident: bibr9-2324709620906962 doi: 10.1161/ATVBAHA.113.301436 – ident: bibr22-2324709620906962 doi: 10.1097/00003072-199501000-00016 – ident: bibr11-2324709620906962 doi: 10.12659/AJCR.894565 – volume: 22 start-page: 1062 year: 1981 ident: bibr20-2324709620906962 publication-title: J Nucl Med contributor: fullname: Mendelson DS – ident: bibr6-2324709620906962 doi: 10.1016/0002-9343(91)90080-H – ident: bibr16-2324709620906962 doi: 10.1001/jama.1990.03440200057023 – ident: bibr18-2324709620906962 doi: 10.1016/j.ejim.2016.01.009 – ident: bibr1-2324709620906962 doi: 10.1126/sciadv.aax1532 – ident: bibr19-2324709620906962 doi: 10.1007/s10067-004-0929-0 – ident: bibr3-2324709620906962 doi: 10.1093/jat/bky007 – ident: bibr7-2324709620906962 doi: 10.1161/01.CIR.105.13.1529 – ident: bibr14-2324709620906962 doi: 10.2484/rcr.v7i3.714 – ident: bibr17-2324709620906962 doi: 10.1053/j.semnuclmed.2010.07.002 |
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| Snippet | Pulmonary complications from cocaine use can range from bronchospasm to vasospasm leading to pulmonary infarction. Profound vasospasm may also lead to... |
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| SubjectTerms | Case Report Case reports Cocaine Pulmonary embolisms Ventilation |
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| Title | Cocaine-Induced Ventilation/Perfusion Mismatch Mimicking Pulmonary Embolism |
| URI | https://journals.sagepub.com/doi/full/10.1177/2324709620906962 https://www.ncbi.nlm.nih.gov/pubmed/32054344 https://www.proquest.com/docview/2473721545/abstract/ https://search.proquest.com/docview/2355939594 https://pubmed.ncbi.nlm.nih.gov/PMC7025422 https://doaj.org/article/12352ce260824e3681829ee65417ea38 |
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