非法药物使用(IDU)是临床实践中的一大挑战,在过去的几十年里发病率不断上升。每日,临床医生会遇到与IDU相关的各种并发症.与违禁药物有关的常见感染是感染性心内膜炎,脓肿,骨髓炎,肺炎,艾滋病毒,丙型肝炎,和B.其他罕见的并发症可能发生像白质脑病,IDU相关肺损伤,和急性呼吸窘迫综合征(ARDS),这是一种严重且可能危及生命的疾病,其特征是突然发作的呼吸衰竭,通常需要机械通风。虽然ARDS最常见的病因与感染和败血症有关,有新的证据表明,药物滥用也可能与ARDS的发展相关,但机制不明确.IDU相关的肺损伤是一种罕见的实体,文献报道的病例很少。它的管理通常涉及支持性护理,包括机械通气,氧疗,密切监测流体平衡。我们介绍了一例25岁男性,患有与甲基苯丙胺和大麻滥用有关的ARDS和多器官衰竭。
Illicit drug usage (IDU) is a big challenge in clinical practice, with increasing incidence in the last decades. Daily, clinicians encounter a wide variety of complications related to IDU. Common infections related to illicit drugs are infective endocarditis, abscesses, osteomyelitis, pneumonia, HIV, hepatitis C, and B. Other rare complications could happen like leukoencephalopathy, IDU-related lung injury, and acute respiratory distress syndrome (ARDS) which is a severe and potentially life-threatening condition characterized by the sudden onset of respiratory failure, often necessitating mechanical ventilation. While the most common etiologies of ARDS are related to infections and sepsis, there is emerging evidence that substance abuse can also be associated with the development of ARDS with unclear mechanisms. IDU-related lung injury is a rare entity with few cases reported in the literature. Its management usually involves supportive care, including mechanical ventilation, oxygen therapy, and close monitoring of fluid balance. We present a
case of a 25-year-old male presented with ARDS and multiorgan failure related to methamphetamine and cannabis abuse.