Disseminated Candidiasis after Intravenous Use of Oral Methadone
Authors: Claude Scheidegger, Jolanta Pietrzak, Reno Frei
Journal: Annals of Internal Medicine (1991)

Letters1 October 1991Disseminated Candidiasis after Intravenous Use of Oral MethadoneClaude Scheidegger, MD, Jolanta Pietrzak, MD, Reno Frei, MDClaude Scheidegger, MDSearch for more papers by this author, Jolanta Pietrzak, MDSearch for more papers by this author, Reno Frei, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-115-7-576_1 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the Editors: Fresh lemon juice, used as a solvent for the brown "Iranian" heroin and other poorly soluble drugs, is a recognized source of disseminated candidiasis in intravenous drug users (1). Candida albicans has also been isolated from lemon juice preserved in plastic lemon-shaped containers from which the sulfur-dioxide preservative had evaporated because the juice was kept beyond the recommended consumption date (2, 3). We report the cases of two drug users who presented with disseminated candidiasis and who had apparently not used lemon juice.A 36-year-old, HIV-negative heroin user who was receiving oral methadone presented with lesions characteristic...References1. Newton-JohnWiseLooke HKD. Role of the lemon in disseminated candidiasis of heroin abusers. Med J Austr. 1984;140:780-1. CrossrefMedlineGoogle Scholar2. ShanklandRichardson GM. Possible role of preserved lemon-juice in the epidemiology of Candida endophthalmitis in heroin addicts. Eur J Clin Microbiol Infect Dis. 1989;8:87-9. CrossrefMedlineGoogle Scholar3. ScheideggerFrei CR. Disseminated candidiasis in a drug addict not using heroin. J Infect Dis. 1989;159:1007-8. CrossrefMedlineGoogle Scholar4. ServantDuttonOng-ToneBarrieDavey JGLTC. Candidal endophthalmitis in Glaswegian heroin addicts: report of an epidemic. Trans Ophthalmol Soc UK. 1985;104:297-308. MedlineGoogle Scholar5. SchererStevens SD. Application of DNA typing methods to epidemiology and taxonomy of Candida species. J Clin Microbiol. 1987;25:675-9. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Claude Scheidegger, MD; Jolanta Pietrzak, MD; Reno Frei, MDAffiliations: University Hospital of Basel 4031 Basel Switzerland PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byManagement of Opioid Use Disorder and Infectious Disease in the Inpatient SettingAusweich- und SubstitutionsmittelMonitoring Intravenous Abuse of Methadone or Buprenorphine in Opiate Maintenance Treatment (OMT): A Simple and Fast LC–MS-MS Method for the Detection of Disaccharides in Urine SamplesIntravenous methadone application as a serious risk factor for an overdose death: methadone-related fatalities in Hamburg from 2007 to 2012Disaccharides in Urine Samples as Markers of Intravenous Abuse of Methadone and BuprenorphineAusweich- und SubstitutionsmittelDrug injecting in patients in New Zealand Methadone Maintenance Treatment programs: An anonymous surveyAusweich- und SubstitutionsmittelPatients in methadone maintenance treatment who inject methadone syrup: a preliminary studyMethadone diluted with contaminated orange juice or raspberry syrup as a potential source of disseminated candidiasis in drug abusersOpioid analgesics and narcotic antagonistsAusweich- und Substitutionsmittel 1 October 1991Volume 115, Issue 7Page: 576-576KeywordsAddictsCandida albicansCandidiasisDrug usersDrugsHeroinLesionsPreservatives ePublished: 1 December 2008 Issue Published: 1 October 1991 PDF downloadLoading ...