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Hydrocodone snorting leading to hypersensitivity pneumonitis
Lakshmi Kant Pathak1, Vimala Vijayaraghavan1
1Department of Hospital Medicine, Sanford Medical Centre, Fargo, North Dakota (Pathak), and Department of Medicine, University of West Indies, Trinidad (Vijayaraghavan).
Abstract:
We present a case of hypersensitivity pneumonitis caused by intranasal abuse of the prescription narcotic hydrocodone. The patient's clinical course was complicated by acute respiratory failure. A chest radiograph showed diffuse bilateral opacities. The patient was treated with noninvasive ventilation, a high dose of intravenous steroids, and bronchodilators, resulting in improvement of symptoms and radiographic appearance.