Intravenous drug abuse unfortunately remains an extremely common problem worldwide, accounting for innumerable medical issues ranging from the transmission of human immunodeficiency virus (HIV) and other blood-borne diseases to skin necrosis to vasculitis to death [1]. We present a case of intra-arterial injection of alprazolam into the right femoral artery resulting in microembolization, acute...

Left ventricular outflow tract pseudoaneurysm is an uncommon complication following aortic valve replacement (AVR), occurring most frequently secondary to endocarditis. We present a case of a 47-year-old female with a history of intravenous drug abuse and a past surgical history of two AVRs (2001 and 2009 with aortic root replacement for endocarditis) who presented with symptoms of lower extrem...

background: for psychiatric disorders, comorbidity is a rule rather than exception. thus it is particularly important to study additive and multiplicative effects of multiple mental disorders on suicidal behaviors. objectives: the aim of this study was to investigate the ethnic differences in multiplicative effects of mental disorders on suicidal ideation among black adults in the united states...

A 30-year-old African American man with sickle cell disease (SCD) presented with diffuse joint pain, shortness of breath, nonproductive cough, and chest pain. Chest x-ray and computed tomography scan revealed cavitary lesions in the lungs. In addition, transthoracic echocardiogram showed moderate tricuspid value regurgitation and a 3 2.8 cm mass at the base of the posterior tricuspid valve cons...

A 34 year old male nursing officer presented to Ela Momorial Medical Centre, Ilorin with 6-month history of deformity of left forearm/hand with scarring and extensive ulceration/gangrene as a result of drug abuse of pentozacine Patient claimed he had hemorrhoids for which he started to give himself intravenous pentozacine. The repeated infections of this drug, patient said the area became swoll...

The arrival of HIV has challenged the traditional services for intravenous drug users providing the im petus to re-examine working practices. Only 10% of intravenous drug users attend hospital based treat ment centres offering out-patient programmes based on reducing doses of oral methadone with an ulti mate goal of abstinence (Hartnoll et al, 1985), yet for public health programmes designed to...

Patients with history of intravenous drug abuse are noted to be at risk of several infections including HIV, endocarditis, and other opportunistic infections. We report the case of a patient with sustained Bacillus cereus bacteremia despite use of multiple antibiotic regimens during his inpatient stay. Our case highlights the importance of high suspicion for active drug use inside the hospital ...