Needle Embolism in Intravenous Drug Abuse
Overview
Affiliations
Although intravenous drug users report the breaking of a needle as a relatively common occurrence, central embolism of needle fragments occurs infrequently in the literature. Central needle embolism also poses a conundrum for the radiologist, as the needle may be easily overlooked when the clinical history is nonspecific. We present two cases of needle embolism to the lung, one complicated by inflammatory mass and progressive pleuritic chest pain requiring wedge resection. We hope that our experiences may increase radiologists' and emergency physicians' familiarity with this unusual cause of chest pain. The radiological findings are subtle and may be easily overlooked, particularly without thorough clinical history.
Candida dubliniensis Fungemia Leading to Infective Endocarditis and Septic Pulmonary Emboli.
Jafroodifar A, Thibodeau R, Scalzetti E Cureus. 2023; 15(5):e39031.
PMID: 37323365 PMC: 10266299. DOI: 10.7759/cureus.39031.
Broken Intraluminal Needle in an Intravenous Drug User - A Case Report and Review.
Seth A, Bansal N, Tiwari P, Jain S J Orthop Case Rep. 2023; 13(3):59-62.
PMID: 37187821 PMC: 10178819. DOI: 10.13107/jocr.2023.v13.i03.3584.
Extensive subcutaneous needle fragment retention due to injecting drug use.
Glengarry J, Lynch M, ODonnell C Forensic Sci Med Pathol. 2022; 19(1):124-128.
PMID: 36219370 DOI: 10.1007/s12024-022-00543-9.
Delaney F, Stanley E, Bolster F Insights Imaging. 2020; 11(1):98.
PMID: 32844370 PMC: 7447733. DOI: 10.1186/s13244-020-00903-5.
Embolic Hypodermic Needle Causing Traumatic Cardiac Tamponade: A Case Report.
Yen A, Homer C, Mohapatra A, Langnas E, Gomez A, Hendrickson C Crit Care Explor. 2020; 1(8):e0038.
PMID: 32166279 PMC: 7063948. DOI: 10.1097/CCE.0000000000000038.