heroin and Bronchiectasis

We observed a patient who developed diffuse bronchiectasis subsequent to heroin-induced pulmonary edema. Unlike the previously reported cases, there was rapid clearing of pulmonary infiltrates and little evidence of severe aspiration. The development of bronchiectasis was attributed to a bronchial infection subsequent to clearing of the pulmonary edema. Physiologic dysfunction was characterized by marked obstruction, pulmonary hypertension, and mild hypoxemia.

Topics: Adult; Bronchiectasis; Heroin; Humans; Male; Pulmonary Edema; Respiratory Function Tests; Substance-Related Disorders

Topics: Adult; Bronchiectasis; Heroin; Heroin Dependence; Humans; Hypoxia; Inhalation; Lung Diseases, Obstructive; Male; Radiography; Respiratory Function Tests; Respiratory Insufficiency; Substance-Related Disorders

Topics: Adult; Bronchi; Bronchiectasis; Female; Gastroesophageal Reflux; Heroin; Humans; Lung; Pneumonia, Aspiration; Pulmonary Edema; Trachea