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{
    "pk": 924,
    "title": "Apnea and Diffuse Alveolar Hemorrhage Caused by Cocaine and Heroin Use: A Case Report",
    "subtitle": null,
    "abstract": "Introduction:\n Drug overdose represents a growing reason for emergency department visits and hospitalizations in the United States. Co-ingestion of multiple substances is also on the rise, and toxidromes can be seen from any of multiple drugs in a single patient.\nCase Report:\n We present a case of diffuse alveolar hemorrhage secondary to cocaine abuse in a patient who was apneic and unresponsive after heroin overdose. The patient responded to supportive care and was discharged with complete return to physical and mental baseline.\nConclusion:\n Clinicians must be vigilant for any number of concomitant toxidromes when a patient is brought in with complications following drug overdose.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "opioid use"
        },
        {
            "word": "cocaine use"
        },
        {
            "word": "overdose"
        },
        {
            "word": "toxidrome"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/82x023q3",
    "frozenauthors": [
        {
            "first_name": "Gideon",
            "middle_name": "",
            "last_name": "Logan",
            "name_suffix": "",
            "institution": "University of Central Florida College of Medicine, Department of Emergency Medicine, Orlando, Florida",
            "department": "None"
        },
        {
            "first_name": "Ernesto",
            "middle_name": "",
            "last_name": "Robalino",
            "name_suffix": "",
            "institution": "University of Central Florida College of Medicine, Department of Internal Medicine, Orlando, Florida",
            "department": "None"
        },
        {
            "first_name": "Tracy",
            "middle_name": "",
            "last_name": "MacIntosh",
            "name_suffix": "",
            "institution": "University of Central Florida College of Medicine, Department of Emergency Medicine, Orlando, Florida",
            "department": "None"
        },
        {
            "first_name": "Latha",
            "middle_name": "",
            "last_name": "Ganti",
            "name_suffix": "",
            "institution": "University of Central Florida College of Medicine, Department of Emergency Medicine, Orlando, Florida",
            "department": "None"
        }
    ],
    "date_submitted": "2020-10-06T06:39:06+08:00",
    "date_accepted": "2020-10-06T06:39:06+08:00",
    "date_published": "2020-10-06T06:40:20+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/924/galley/672/download/"
        }
    ]
}