Abstract
We present the case of a trauma patient whose persistently abnormal chest radiography led to exploratory bronchoscopy. After the discovery of a foreign body in the right lower lobe bronchus, an attempted retrieval resulted in accidental perforation of a cocaine bag and release of the drug, which may have been the cause of the patient's subsequent pneumonitis.
MeSH terms
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Adult
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Bronchoscopy / methods*
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Cocaine* / urine
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Fever / complications
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Foreign Bodies / diagnosis*
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Foreign Bodies / therapy
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Humans
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Illicit Drugs* / urine
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Inhalation
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Male
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Mucus
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Plastics
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Pneumonia / chemically induced
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Pneumonia, Aspiration / complications
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Quadriplegia / etiology
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Radiography, Thoracic / methods
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Spinal Cord Injuries / etiology
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Spinal Fractures / complications
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Surgical Instruments
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Tomography, X-Ray Computed / methods
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Vasoconstrictor Agents* / urine
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Wounds, Gunshot / complications*
Substances
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Illicit Drugs
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Plastics
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Vasoconstrictor Agents
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Cocaine