Destructive Xylazine Wounds: A New Entity Faced by Thoracic Surgeons
Louis F Chai1, Whitney M Burrows1, Joseph S Friedberg1
1Department of Thoracic Medicine and Surgery, Temple University Hospital, Philadelphia, Pennsylvania.
Annals of Thoracic Surgery Short Reports
|October 30, 2025
Summary
Xylazine use is linked to rising drug deaths and severe skin wounds. This report highlights three cases of destructive lesions, emphasizing the need for medical provider awareness and multidisciplinary care.
Area of Science:
- Veterinary medicine
- Toxicology
- Public health
Background:
- Xylazine is an illicit drug associated with increased mortality and severe necrotic skin lesions.
- Destructive lesions, particularly from neck and chest injections, pose challenges for medical professionals, including thoracic surgeons.
- Philadelphia has emerged as a significant center for xylazine use.
Related Concept Videos
Flail Chest-II
511
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
511
Pneumothorax-II
880
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
880


