An Important Clinical Condition in Differential Diagnosis of Coronavirus Disease 2019: Crack Lung


Akıllı I. K., Bilge M., Karaayvaz E. B.

Thoracic Research and Practice, cilt.24, sa.2, ss.109-112, 2023 (ESCI, Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 24 Sayı: 2
  • Basım Tarihi: 2023
  • Doi Numarası: 10.5152/thoracrespract.2023.22075
  • Dergi Adı: Thoracic Research and Practice
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.109-112
  • Anahtar Kelimeler: Thorax CT, crack lung, crack cocaine, patchy ground-glass opacity, acute pulmonary injury
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Crack cocaine has been associated with a variety of pulmonary manifestations. We report a 44-year-old man been diagnosed with severe acute respiratory syndrome coronavirus 2 infection, presenting shortness of breath, non-productive cough, chest pain, headache, dizzi-ness, and fever lasting for 2 days. At first, all findings of our patient called for an impression of coronavirus disease 2019. During admis-sion, he presented with acute respiratory symptoms, patchy ground-glass opacities, and laboratory abnormalities, such as elevated acute phase response and lymphopenia. After, the presence of transient lung infiltrations in the follow-up triggered the cause for a re-evaluation of the diagnosis of coronavirus disease 2019. After a detailed inquiry, it was revealed that he had had a history of intense inhaled cocaine use 2 days before hospitalization. We speculate that the crack lung should also be considered in the differential diagnosis in patients with suspected coronavirus disease 2019 pneumonia.