Published Apr 2, 2020



PLUMX
Almetrics
 
Dimensions
 

Google Scholar
 
Search GoogleScholar


Catalina Rodriguez Prada https://orcid.org/0000-0001-6822-2214

Camilo Andrés Jiménez https://orcid.org/0000-0002-1840-3815

Juan Carlos Jaimes Gélvez

Mario Andrés Enciso Castro

Onofre Casa Castro https://orcid.org/0000-0002-1859-0972

Jorge Andrés Suárez Agudelo https://orcid.org/0000-0003-1566-4785

Danilo Salazar

##plugins.themes.bootstrap3.article.details##

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.

Keywords

Heroin dependence, Pulmonary edema, Pulmonary ventilationDependencia de Heroína, Edema pulmonar, Ventilación Pulmonar

References
1. 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.

2. Dikotter F, Laamann L, Zhou X. Narcotic culture: a history of drugs in China. Chicago: The University of Chicago Press; 2004.

3. Alcaldía Mayor de Bogotá. Vigilancia epidemiológica del abuso sustancias psicoactivas a través del subsistema-VESPA en el Distrito Capital. Bogotá; 2012.

4. Toro Ocampo JH, Álvarez Gómez ML. Complicaciones del uso de la heroína parenteral: artículo de revisión. Med UPB. 2017;36(2):146-52.

5. 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.

6. 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

7. 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.

8. Sporer KA, Dorn E. Heroin-related noncardiogenic pulmonary edema: A case series. Chest. 2001;120(5):1628-32.

9. 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.

10. World Health Organization. Community management of opioid overdose. Geneva; 2014. Disponible en: https://apps.who.int/iris/handle/10665/137462

11. 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).

12. 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/

13. 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

14. 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.

15. 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
How to Cite
Rodriguez Prada, C., Jiménez, C. A., Jaimes Gélvez, J. C., Enciso Castro, M. A., Casa Castro, O., Suárez Agudelo, J. A., & Salazar, D. (2020). Non Cardiogenic Pulmonary Edema as a Complication of Overdose by Heroine Consumption. Case Report. Universitas Medica, 61(2). https://doi.org/10.11144/Javeriana.umed61-2.edem
Section
Case Reports

Most read articles by the same author(s)