Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
|
pubmed:dateCreated |
1993-1-12
|
pubmed:abstractText |
From November 1983 to April 1990, disseminated candidiasis was diagnosed in 83 heroin addicts at our institution. All patients had consumed brown heroin diluted in fresh lemon juice. Sixty-two (75%) had skin lesions, 41 (49%) had ocular lesions, and 35 (42%) had one or several costochondral tumors. Candida albicans was grown in culture or histopathologically identified in 34 cases (41%). The patients who had only cutaneous lesions were treated with ketoconazole, and they were all cured. The patients with ocular involvement received systemic amphotericin B with or without oral flucytosine; 29 of these patients developed varying degrees of vision loss. The method of treatment of costochondral tumors was not uniform; in 14 cases the lesions were resected. The one patient who died developed endocarditis involving the aortic valve. Cases of pleuropulmonary involvement, spondylitis, and large-joint arthritis have also been described among the 300 cases reported in the reviewed literature. This is a new syndrome of candidal infection in drug addicts who use brown heroin; ocular lesions are the most harmful manifestation, and loss of vision is the major sequela.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
|
pubmed:month |
Dec
|
pubmed:issn |
1058-4838
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
15
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
910-23
|
pubmed:dateRevised |
2006-11-15
|
pubmed:meshHeading |
pubmed-meshheading:1457662-Adolescent,
pubmed-meshheading:1457662-Adult,
pubmed-meshheading:1457662-Candidiasis,
pubmed-meshheading:1457662-Female,
pubmed-meshheading:1457662-Heroin Dependence,
pubmed-meshheading:1457662-Humans,
pubmed-meshheading:1457662-Male,
pubmed-meshheading:1457662-Substance Abuse, Intravenous
|
pubmed:year |
1992
|
pubmed:articleTitle |
Disseminated candidiasis in addicts who use brown heroin: report of 83 cases and review.
|
pubmed:affiliation |
Infectious Diseases Unit, Hospital Clinic i Provincial, Barcelona, Spain.
|
pubmed:publicationType |
Journal Article,
Review,
Research Support, Non-U.S. Gov't
|