Cocaine, Pulmonary Hemorrhage, and Hemoptysis
Authors: Jeffrey E. Godwin
Journal: Annals of Internal Medicine (1989)

Letters and Corrections15 May 1989Cocaine, Pulmonary Hemorrhage, and HemoptysisJeffrey E. Godwin, MD, Russell A. Harley, MD, K. Scott Miller, MD, John E. Hefner, MDJeffrey E. Godwin, MDSearch for more papers by this author, Russell A. Harley, MDSearch for more papers by this author, K. Scott Miller, MDSearch for more papers by this author, John E. Hefner, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-110-10-843_1 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the Editor: We report a patient with recurrent massive hemoptysis and pulmonary hemorrhage temporally related to smoking "freebase" cocaine.A 20-year-old woman presented with massive hemoptysis after smoking freebase cocaine. She denied intravenous drug abuse or previous medical problem. The patient's physical examination was normal except for decreased breath sounds in the right lung base. An admission hematocrit was 16%; platelet count, 467 000 cells/mm3; PT, 12.2 seconds; and PTT, 24.7 seconds. A chest roentgenogram showed subtle diffuse bilateral alveolar infiltrates.Fiberoptic bronchoscopy localized brisk hemorrhage to the anterior segment of the right upper lobe. A right upper lobe...References1. MurrayAlbinMergner RRW. Diffuse alveolar hemorrhage temporally related to cocaine smoking. Chest. 1988;93:427-9. CrossrefMedlineGoogle Scholar2. MurraySmialekGolle RJM. Pulmonary vascular abnormalities in cocaine users. Am Rev Resp Dis. 1988;137:459. Google Scholar3. SuhlGorelick JA. Pulmonary function in male freebase cocaine smokers. Am Rev Resp Dis. 1988;137:488. Google Scholar4. RothAlarcónFernandez DFJ. Acute rhabdomyolysis associated with cocaine intoxication. N Engl J Med. 1988;319:673-7. CrossrefMedlineGoogle Scholar5. AlfredEwer RS. Fatal pulmonary edema following intravenous "freebase" cocaine use. Ann Emerg Med. 1981;10:441-2. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Medical College of South Carolina Charleston, SC 29425 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByRepublication de : Complications pulmonaires chez les consommateurs de cocaïneComplications pulmonaires chez les consommateurs de cocaïneHémorragies intra-alvéolaires et consommation de cocaïnePulmonary Effects of Cocaine UseFremdkörpergranulome bei inhalativer PolytoxikomanieAddiction à la cocaïne et au « crack » : un problème de santé publique qui s’aggraveForensic Lung PathologyCocaïnePulmonary alterations in cocaine usersCocaineThe pathophysiology of cocaine abuseSinopulmonary complications of illicit drug useEvidence of Chronic Damage to the Pulmonary Microcirculation in Habitual Users of Alkaloidal (“Crack”) CocaineCOCAINE USE AND ACUTE MYOCARDIAL INFARCTIONRuptured retroperitoneal aneurysm in a patient taking phentermine hydrochlorideCocaine: Pathophysiology and clinical toxicologyEVALUATION OF PATIENTS WITH CHEST PAIN AFTER COCAINE USERespiratory toxicities from stimulant useMassive Pulmonary Edema in a Habitual Crack Cocaine Smoker Not Chemically Positive for Cocaine at the Time of SurgeryEffects of in vivo cocaine administration on human platelet aggregationEffects of Cocaine on Human Platelet Aggregation In VitroStimulant-Induced Pulmonary ToxicityThe Pulmonary Complications of Crack CocaineMASSIVE HEMOPTYSISCardiovascular Complications of CocainePulmonary Complications from Alveolar Accumulation of Carbonaceous Material in a Cocaine SmokerRespiratory Complications of Cocaine AbuseThe cardiovascular effects of cocaineCocaine-associated rhabdomyolysis and hemoptysis mimicking pulmonary embolismCentral nervous system stimulants and anorectic agentsDrugs of abuseCorrection: Author's Name and Institution in Letter on Pulmonary Hemorrhage and Hemoptysis 15 May 1989Volume 110, Issue 10Page: 843-843KeywordsBronchoscopyCocaineDrug abuseHematocritHemorrhageLungsPartial thromboplastin timePatient advocacyPlateletsThorax Issue Published: 15 May 1989 PDF DownloadLoading ...