TY - JOUR
T1 - Complications of intranasal prescription narcotic abuse
AU - Yewell, Jason
AU - Haydon, Richard
AU - Archer, Sanford
AU - Manaligod, Jose M.
PY - 2002
Y1 - 2002
N2 - The abuse of drugs via an intranasal route is an increasingly prevalent pattern of behavior. In the past year, a number of patients received care at our institution for complications resulting from the previously unreported phenomenon of intranasal prescription narcotic abuse. This report describes the clinical manifestations of this form of drug abuse in 5 patients. Their symptoms consisted of nasal and/or facial pain, nasal obstruction, and chronic foul-smelling drainage. Common physical findings were nasal septal perforation; erosion of the lateral nasal walls, nasopharynx, and soft palate; and mucopurulent exudate on affected nasal surfaces. In addition, 2 of the 5 patients had invasive fungal rhinosinusitis, which appears to be a complication unique to intranasal narcotic abuse.
AB - The abuse of drugs via an intranasal route is an increasingly prevalent pattern of behavior. In the past year, a number of patients received care at our institution for complications resulting from the previously unreported phenomenon of intranasal prescription narcotic abuse. This report describes the clinical manifestations of this form of drug abuse in 5 patients. Their symptoms consisted of nasal and/or facial pain, nasal obstruction, and chronic foul-smelling drainage. Common physical findings were nasal septal perforation; erosion of the lateral nasal walls, nasopharynx, and soft palate; and mucopurulent exudate on affected nasal surfaces. In addition, 2 of the 5 patients had invasive fungal rhinosinusitis, which appears to be a complication unique to intranasal narcotic abuse.
KW - Codeine
KW - Drug abuse
KW - Fungus
KW - Hydrocodone
KW - Nose
KW - Oxycodone
KW - Sinusitis
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U2 - 10.1177/000348940211100212
DO - 10.1177/000348940211100212
M3 - Article
C2 - 11860072
AN - SCOPUS:0036163974
SN - 0003-4894
VL - 111
SP - 174
EP - 177
JO - Annals of Otology, Rhinology and Laryngology
JF - Annals of Otology, Rhinology and Laryngology
IS - 2
ER -