1/2. "Cotton fever" in narcotic addicts.Two patients presented to the emergency department with acute onset of fever and myalgia after injecting heroin reclaimed from previously used cotton filters. Their histories and clinical courses are illustrative of the symptom complex known to drug users as "cotton fever." Although the causative mechanisms are unknown, the syndrome does appear to have a benign, self-limiting course.- - - - - - - - - - ranking = 1keywords = cotton (Clic here for more details about this article) |
2/2. Malignant hypertension presenting as blurred vision in a 43 year old intravenous drug abuser.A 43 year old intravenous drug abuser presented to the accident and emergency department with a three week history of bilateral visual loss and frontal headaches. Fundoscopy revealed bilateral retinal cotton wool spots and haemorrhages and an ophthalmic opinion was requested. His blood pressure was subsequently found to be 210/140. A diagnosis of malignant hypertension was made and blood pressure was gradually controlled on oral antihypertensives. This case illustrates the importance of checking the blood pressure of all patients presenting with visual loss.- - - - - - - - - - ranking = 0.5keywords = cotton (Clic here for more details about this article) |