The Drug-Induced Respiratory Disease Website

Abused drugs/substances (illicit-, street-) - oral, i.v. or inhaled

Septic pulmonary embolism

The main signs and symptoms include fever, dyspnea, chest pain, and cough. Imaging features include multiple bilateral peripheral nodules, cavitation, focal or wedge-shaped infiltrates and pleural effusion. Echocardiography may reveal vegetations. Blood cultures can grow Staphylococcus aureus or Candida (PMID 24183289)

Publications

Gupta S, Banach DB, Chirch LM

Pulmonary artery intravascular abscess: A rare complication of incomplete infective endocarditis treatment in the setting of injection drug use.

IDCases 2018;12;88-91 — 2018 — 88-91

Wakeman SE, Ghoshhajra BB, Dudzinski DM, Wilens T, Slavin PL

Case records of the Massachusetts General Hospital. Case 35-2014: a 31-year-old woman with fevers, chest pain, and a history of HCV infection and substance-use disorder.

The New England journal of medicine 2014 Nov 13;371;1918-26 — 2014 Nov 13 — 1918-26

Ye R, Zhao L, Wang C, Wu X, Yan H

Clinical characteristics of septic pulmonary embolism in adults: a systematic review.

Respiratory medicine 2014 Jan;108;1-8 — 2014 Jan — 1-8

Pena E, Dennie C, Franquet T, Milroy C

Nonthrombotic pulmonary embolism: a radiological perspective.

Seminars in ultrasound, CT, and MR 2012 Dec;33;522-34 — 2012 Dec — 522-34

Yasar KK, Pehlivanoglu F, Gursoy S, Sengoz G

Tricuspid Endocarditis and Septic Pulmonary Embolism in an Intravenous Drug User with advanced HIV Infection.

Oman medical journal 2011 Sep;26;365-7 — 2011 Sep — 365-7

Brunetti ND, De Gennaro L, Basile DP, De Cillis E, Acquaviva T, Boscia F, Di Biase M, Bortone AS

A "strange cough": 3D-echocardiography for diagnosis of late tricuspid valve endocarditis in a former drug addict with septic pulmonary emboli.

International journal of cardiology 2011 Nov 17;153;e15-8 — 2011 Nov 17 — e15-8

Saydain G, Singh J, Dalal B, Yoo W, Levine DP

Outcome of patients with injection drug use-associated endocarditis admitted to an intensive care unit.

Journal of critical care 2010 Jun;25;248-53 — 2010 Jun — 248-53

Dawson DJ, Peters L

"Street" supplies of the anticoagulant drug warfarin: a worrying new trend.

Emergency medicine journal : EMJ 2006 Jun;23;488-9 — 2006 Jun — 488-9

Fäh F, Zimmerli W, Jordi M, Schoenenberger RA

Septic deep venous thrombosis in intravenous drug users.

Swiss medical weekly 2002 Jul 13;132;386-92 — 2002 Jul 13 — 386-92

Aguado JM, Arjona R, Ugarte P

Septic pulmonary emboli. A rare cause of bilateral pneumothorax in drug abusers.

Chest 1990 Nov;98;1302-4 — 1990 Nov — 1302-4