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Int J Chron Obstruct Pulmon Dis · Jan 2008
Case ReportsSuccessful lung transplantation for talcosis secondary to intravenous abuse of oral drug.
- Dekel Shlomi, David Shitrit, Daniele Bendayan, Gidon Sahar, Yitshak Shechtman, and Mordechai R Kramer.
- Pulmonary Institute, Department of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Petah Tiqva, Israel.
- Int J Chron Obstruct Pulmon Dis. 2008 Jan 1;3(2):327-30.
AbstractTalcosis due to intravenous injection of oral drugs can cause severe pulmonary disease with progressive dyspnea even when drug use is discontinued. We describe a 54-year-old woman with severe emphysema who underwent left lung transplantation. The patient had a remote history of intravenous injection of crushed methylphenidate (Ritalin) tablets. Chest computed tomography showed severe emphysematous changes, more prominent in the lower lobes. Microscopic examination of the extracted lung demonstrated multinucleated giant cells with birefringent crystals, compatible with talcosis. At follow-up, daily symptoms were completely alleviated and lung function was good. We recommend that lung transplantation be considered as a viable option in the treatment of talcosis.
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