Skip to main content
Log in

Talc lung in a drug abuser

  • Brief Report
  • Published:
Irish Journal of Medical Science Aims and scope Submit manuscript

Summary

We report a case of intravenous talcosis in a 36 year old woman. Although she initially denied drug abuse clinical suspicion was aroused by the finding of obliterated peripheral veins, a pleural rub and a peripheral nodular lesion on chest x-ray. Diagnosis of intravenous talcosis was confirmed by finding birefringent particles on transbronchial biopsy. Confronted with this evidence the patient admitted long-standing drug abuse, including intravenous injection of crushed methadone tablets which contain talc filler.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Fishman, A. P. Pulmonary diseases and disorders. New York. McGraw Hill Book Company, 1980: Vol 2, p. 1065.

    Google Scholar 

  2. Pare, J. A., Fraser, R. G., Hogg, J. C., Howlett, J. G., Murphy, S. B. Pulmonary “mainline” granulomatosis: Talcosis of intravenous methadone abuse. Medicine 1979: 58, 229–239.

    PubMed  CAS  Google Scholar 

  3. Pare, J. A., Cote, G., Fraser, R. G. Longterm follow-up of drug abusers with intravenous talcosis. Am Rev. Respir. Dis. 1989: 139, 233–41.

    PubMed  CAS  Google Scholar 

  4. Feigin, D. S. Talc: Understanding its manifestations in the chest. A.J.R. 1986: 146, 295–301.

    CAS  Google Scholar 

  5. Robertson, C. H., Reynolds, R. C., Wilson, J. E. Pulmonary hypertension and foreign body granulomas in intravenous drug abusers. Am. J. Med. 1976: 61, 657–664.

    Article  PubMed  Google Scholar 

  6. Farber, H. W., Fairman, R. P., Rounds, S., Glauser, F. L. Pulmonary response to foreign body microemboli in dogs: Release of neutrophil chemoattractant activity by vascular endothelial cells. Am J. Respir. Cell. Mol. Biol. 1989: 1, 27–35.

    PubMed  CAS  Google Scholar 

  7. Kringsholm, B., Christoffersen, P. The nature and the occurrence of birefringent material in different organs in fatal drug addiction. Forensic Sci. Int. 1987: 34, 53–62.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hill, A.D., Toner, M.E. & FitzGerald, M.X. Talc lung in a drug abuser. I.J.M.S. 159, 147–148 (1990). https://doi.org/10.1007/BF02937408

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02937408

Keywords

Navigation