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Lesiones destructivas de la línea media facial secundarias al consumo de cocaína: caso clínico / Cocaine induced midline destructive lesions: report of one case
Barrera O, Manuel; Rivera V, Matías de la; Vela U, Javier; Barrera M, Rodrigo; Mönckeberg F, Gustavo.
Affiliation
  • Barrera O, Manuel; Interno Medicina Universidad de los Andes. Santiago. CL
  • Rivera V, Matías de la; Interno Medicina Universidad de los Andes. Santiago. CL
  • Vela U, Javier; Interno Medicina Universidad de los Andes. Santiago. CL
  • Barrera M, Rodrigo; Interno Medicina Universidad de los Andes. Santiago. CL
  • Mönckeberg F, Gustavo; Clínica Universidad de los Andes. Santiago. CL
Rev. méd. Chile ; 146(9): 1070-1073, set. 2018. tab, graf
Article in Es | LILACS | ID: biblio-978799
Responsible library: CL1.1
ABSTRACT
Vasculitic midline destructive lesions can be a complication of cocaine use. We report a 44-year-old man who presented with a two months history of left facial pain associated with ipsilateral facial paralysis and a cheek phlegmon. Magnetic resonance imaging showed broad soft tissue destruction linked to important cranial nerve involvement. Antibiotic and antifungal therapy was started and multiple surgical debridement procedures were performed, with no clinical improvement. Microbiological analysis was negative. Finally, thanks to the histologic findings corresponding to vasculitis and granuloma formation and the history of cocaine abuse, a cocaine induced midline destructive lesion was diagnosed.
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Full text: 1 Index: LILACS Main subject: Nose Diseases / Cocaine-Related Disorders / Nasal Septum Type of study: Diagnostic_studies Limits: Adult / Humans / Male Language: Es Journal: Rev. méd. Chile Journal subject: MEDICINA Year: 2018 Type: Article

Full text: 1 Index: LILACS Main subject: Nose Diseases / Cocaine-Related Disorders / Nasal Septum Type of study: Diagnostic_studies Limits: Adult / Humans / Male Language: Es Journal: Rev. méd. Chile Journal subject: MEDICINA Year: 2018 Type: Article