Nephrotic syndrome and pulmonary hypertension as complications of intravenous drug abuse

This case report discusses a patient with nephrotic syndrome, pulmonary hypertension, and repeated episodes of infections. He had a history of intravenous drug abuse. Kidney biopsy revealed the rare finding of numerous foam cells, mainly in glomeruli. The solvent used for the drugs is thought to be...

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Veröffentlicht in:APMIS : acta pathologica, microbiologica et immunologica Scandinavica microbiologica et immunologica Scandinavica, 2020-08, Vol.128 (8), p.506-510
Hauptverfasser: Mohan, Janany, Nybø, Camilla J., Vegsundvåg, Johnny, Roald, Borghild, Liem, Ylian S.
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container_title APMIS : acta pathologica, microbiologica et immunologica Scandinavica
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creator Mohan, Janany
Nybø, Camilla J.
Vegsundvåg, Johnny
Roald, Borghild
Liem, Ylian S.
description This case report discusses a patient with nephrotic syndrome, pulmonary hypertension, and repeated episodes of infections. He had a history of intravenous drug abuse. Kidney biopsy revealed the rare finding of numerous foam cells, mainly in glomeruli. The solvent used for the drugs is thought to be responsible for the foam cells. In line with previous reports, we suspect that the pulmonary hypertension is consistent with foam cells in pulmonary capillaries or fat embolism syndrome due to the intravenous administered drugs. Our case demonstrates that the use of intravenous drugs can lead to widely varying symptoms. Globally, the prevalence of substance abuse is increasing. Knowledge about their damaging effects is crucial in both clinical practice and anatomic pathology.
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subjects Bacteriology
Biopsy
Capillaries
Complications
designer drugs
Drug abuse
Drug solvents
Drugs
Embolism
histopathology
Hypertension
Intravenous administration
Kidney diseases
nephrology
Nephrotic syndrome
patholgy
Pulmonary hypertension
title Nephrotic syndrome and pulmonary hypertension as complications of intravenous drug abuse
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