Clin Exp Otorhinolaryngol.  2011 Sep;4(3):159-161.

Recurrent and Massive Life Threatening Epistaxis due to Nasal Heroin Usage

Affiliations
  • 1Department of Otorhinolaryngology, Duzce University Faculty of Medicine, Duzce, Turkey.
  • 2Department of Internal Medicine and Endocrinology Metabolism, Duzce University Faculty of Medicine, Duzce, Turkey. dryusufaydin@yahoo.com

Abstract

Epistaxis, active bleeding from the nose, is a common ear nose and throat emergency, and can be severe or even fatal. We report a severe life threatening recurrent massive nasal bleeding caused by intranasal heroin use that has not hitherto been reported in the English literature. A 24-year-old male who took heroin several times nasally presented with massive nasal bleeding. A blood transfusion and an operation to halt nasal bleeding were required. The patient did not experience a bleeding attack 2 months following cessation of nasal heroin use.

Keyword

Nasal heroin; Life threatening; Recurrent epistaxis

MeSH Terms

Blood Transfusion
Ear
Emergencies
Epistaxis
Hemorrhage
Heroin
Humans
Male
Nose
Pharynx
Young Adult
Heroin

Reference

1. Tan LK, Calhoun KH. Epistaxis. Med Clin North Am. 1999; 1. 83(1):43–56. PMID: 9927959.
Article
2. Pollice PA, Yoder MG. Epistaxis: a retrospective review of hospitalized patients. Otolaryngol Head Neck Surg. 1997; 7. 117(1):49–53. PMID: 9230322.
Article
3. Kucik CJ, Clenney T. Management of epistaxis. Am Fam Physician. 2005; 1. 15. 71(2):305–311. PMID: 15686301.
4. Moro Y, Kojima H, Yashiro T, Moriyama H. A case of internal carotid artery aneurysm diagnosed on basis of massive nosebleed. Auris Nasus Larynx. 2003; 2. 30(1):97–102. PMID: 12589860.
Article
5. Nacul FE, de Moraes E, Penido C, Paiva RB, Meier-Neto JG. Massive nasal bleeding and hemodynamic instability associated with clopidogrel. Pharm World Sci. 2004; 2. 26(1):6–7. PMID: 15018251.
Article
6. Chaiyasate S, Roongrotwattanasiri K, Fooanan S, Sumitsawan Y. Epistaxis in Chiang Mai University Hospital. J Med Assoc Thai. 2005; 9. 88(9):1282–1286. PMID: 16536117.
7. Upile T, Jerjes W, Sipaul F, Maaytah ME, Singh S, Hopper C, et al. A change in UK epistaxis management. Eur Arch Otorhinolaryngol. 2008; 11. 265(11):1349–1354. PMID: 18392840.
Article
8. Schwartz RH, Estroff T, Fairbanks DN, Hoffmann NG. Nasal symptoms associated with cocaine abuse during adolescence. Arch Otolaryngol Head Neck Surg. 1989; 1. 115(1):63–64. PMID: 2909232.
Article
9. Savona S, Nardi MA, Lennette ET, Karpatkin S. Thrombocytopenic purpura in narcotics addicts. Ann Intern Med. 1985; 6. 102(6):737–741. PMID: 2986504.
Article
10. Nalls G, Disher A, Daryabagi J, Zant Z, Eisenman J. Subcortical cerebral hemorrhages associated with cocaine abuse: CT and MR findings. J Comput Assist Tomogr. 1989; Jan-Feb. 13(1):1–5. PMID: 2910922.
11. Rachapalli SM, Kiely PD. Cocaine-induced midline destructive lesions mimicking ENT-limited Wegener's granulomatosis. Scand J Rheumatol. 2008; Nov-Dec. 37(6):477–480. PMID: 18830903.
Article
12. Di Cosola M, Turco M, Acero J, Navarro-Vila C, Cortelazzi R. Cocaine-related syndrome and palatal reconstruction: report of a series of cases. Int J Oral Maxillofac Surg. 2007; 8. 36(8):721–727. PMID: 17643265.
Article
Full Text Links
  • CEO
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr