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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
|
pubmed:dateCreated |
1986-3-13
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pubmed:abstractText |
Recreational cocaine abuse via intranasal "snorting," "free-base" smoking, "body-packing," or intravenous injection can be lethal. Increasing illicit use of cocaine hydrochloride and the misuse of legal over-the-counter (OTC) nasal drugs are known causative agents of nasal septal perforation with loss of taste and smell. Although 2 to 3 mg/kg is the recommended maximum dose for topical anesthesia, cocaine snorters may use 1,000 mg or more daily on a "run." Furthermore, the newer route of smoking the extracted volatile "free-base" form of the adulterated street drug provides a plasma concentration producing the same physiological and subjective effects of intravenous cocaine. Presented are two cases exemplifying unusual complications of cocaine abuse: 1. total nasal septal bony and cartilaginous necrosis with resultant saddle-nose deformity and osteolytic sinusitis secondary to chronic intranasal "snorting" and 2. tracheobronchial rupture with pneumomediastinum secondary to smoking "free-base" cocaine.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0023-852X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
96
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
206-10
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:3945152-Adult,
pubmed-meshheading:3945152-Bone Resorption,
pubmed-meshheading:3945152-Chronic Disease,
pubmed-meshheading:3945152-Cocaine,
pubmed-meshheading:3945152-Ethmoid Sinus,
pubmed-meshheading:3945152-Female,
pubmed-meshheading:3945152-Humans,
pubmed-meshheading:3945152-Male,
pubmed-meshheading:3945152-Maxillary Sinus,
pubmed-meshheading:3945152-Mediastinal Emphysema,
pubmed-meshheading:3945152-Nasal Septum,
pubmed-meshheading:3945152-Necrosis,
pubmed-meshheading:3945152-Nose Deformities, Acquired,
pubmed-meshheading:3945152-Osteolysis,
pubmed-meshheading:3945152-Sinusitis,
pubmed-meshheading:3945152-Street Drugs,
pubmed-meshheading:3945152-Substance-Related Disorders
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pubmed:year |
1986
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pubmed:articleTitle |
Osteolytic sinusitis and pneumomediastinum: deceptive otolaryngologic complications of cocaine abuse.
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pubmed:publicationType |
Journal Article,
Case Reports
|