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Abstract
Heroin is one of the most used, potentially addictive drugs, synthetically derived from morphine, with multiple adverse effects in its use. A case of pulmonary edema associated with heroin use is presented, as a complication of the abuse of this illicit drug. Clinical suspicion and clinical identification, complementary to the images, are key to the diagnosis.Its recommended to take into account as a differential diagnosis the use of illicit drugs in patients with unclear symptoms in the emergency services.
Ministerio de Justicia y del Derecho, Observatorio de Drogas de Colombia. La heroína en Colombia: producción, uso e impacto en la salud pública. Análisis de la evidencia y recomendaciones de política. Bogotá: ODC; 2015.
Dikotter F, Laamann L, Zhou X. Narcotic culture: a history of drugs in China. Chicago: The University of Chicago Press; 2004.
Alcaldía Mayor de Bogotá. Vigilancia epidemiológica del abuso sustancias psicoactivas a través del subsistema-VESPA en el Distrito Capital. Bogotá; 2012.
Toro Ocampo JH, Álvarez Gómez ML. Complicaciones del uso de la heroína parenteral: artículo de revisión. Med UPB. 2017;36(2):146-52.
Sterrett C, Brownfield J, Korn CS, Hollinger M, Henderson SO. Patterns of presentation in heroin overdose resulting in pulmonary edema. Am J Emerg Med. 2003;21(1):32-4.
Morrison WJ, Wetherill S, Zyroff J. The acute pulmonary edema of heroin intoxication. Radiology [Internet]. 1970;97(2):347-51. https://doi.org/10.1148/97.2.347
Yaksh T, Wallece M. Opioides, analgesia y control del dolor. En: Goodman y Gilman: las bases farmacológicas de la terapéutica. 12a ed. México: McGraw Hill; 2011. p. 481-7.
Sporer KA, Dorn E. Heroin-related noncardiogenic pulmonary edema: A case series. Chest. 2001;120(5):1628-32.
Bazoukis G, Spiliopoulou A, Mourouzis K, Grigoropoulou P, Yalouris A. Non-cardiogenic pulmonary edema, rhabdomyolysis and myocardial injury following heroin inhalation: A case report. Hippokratia. 2016;20(1):84-7.
World Health Organization. Community management of opioid overdose. Geneva; 2014. Disponible en: https://apps.who.int/iris/handle/10665/137462
Neumar RW, Shuster M, Callaway CW, Gent LM, Atkins DL, Bhanji F et al. American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015;132(18 sup).
Farney A. Opioid related non-cardiogenic pulmonary edema [internet]. EMS1 [blog] 2018 nov. Disponible en: https://www.ems1.com/drugs/articles/opioid-related-non-cardiogenic-pulmonary-edema-gGMfOuaIeyJ3X1R9/
Ministerio de Salud de Colombia. Lineamientos para el protocolo de manejo de la sobredosis de opioides en la comunidad. Bogotá; 2017. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/ENT/protocolo-naloxona-final-2.pdf
Fernández Miranda J, Pereiro Gómez C. Guía para el tratamiento de la dependencia de opiáceos. Adicciones: Revista de Socidrogalcohol. 2007;19(extra 2):7-118.
Ministerio de Salud y Protección Social de Colombia, Organización Panamericana de la Salud y Organización Mundial de la Salud. Guía para el manejo de emergencias toxicológicas [internet]. Bogotá; 2017. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/GT/guias-manejo-emergencias-toxicologicas-outpout.pdf
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