Delayed resolution of pulmonary oedema after cocaine/heroin abuse

P G Raijmakers, A B Groeneveld, M C de Groot, G J Teule, L G Thijs

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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.

Original languageEnglish
Pages (from-to)1038-40
Number of pages3
Issue number10
Publication statusPublished - Oct 1994


  • Aged
  • Capillary Leak Syndrome/diagnosis
  • Capillary Permeability
  • Cocaine
  • Gallium Radioisotopes
  • Heroin
  • Humans
  • Intensive care unit
  • Lung/diagnostic imaging
  • Male
  • Mechanical ventilation
  • Pulmonary Edema/diagnostic imaging
  • Pulmonary Edema/etiology
  • Radiography
  • Substance-Related Disorders/complications
  • Time Factors

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