UMEM Educational Pearls

Title: Non-Cardiac Cocaine Toxicity

Category: Toxicology

Keywords: Cocaine, stroke, crack lung, headache, seizures, hyperthermia, stroke (PubMed Search)

Posted: 1/1/2009 by Ellen Lemkin, MD, PharmD (Updated: 11/22/2024)
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Although we tend to think of ACS with cocaine use, there are many other serious complications, including:

Agitation, psychosis, and anxiety
Hyperthermia
Vascular headache of withdrawal
Seizures
Hemorrhagic stroke (many of these patients have an underlying vascular abnormality)
Ischemic stroke
Acute Renal Failure
Crack Lung: acute pulmonary syndrome that occurs after inhaling freebase cocaine presents as fever, dyspnea, hypoxemia, diffuse alveolar infiltrates, and respiratory failure
Intestinal perforations

1. Glauser J, Queen JR. Non-Cardiac Cocaine Toxicity. JEM Feb 2007;32(2):181-6.