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Although we tend to think of ACS with cocaine use, there are many other serious complications, including:
- Agitation, psychosis, and anxiety
- Hyperthermia
- Vascular headache of withdrawal
- Seizures
- Hemorrhagic stroke (many of these patients have an underlying vascular abnormality)
- Ischemic stroke
- Acute Renal Failure
- Crack Lung: acute pulmonary syndrome that occurs after inhaling freebase cocaine presents as fever, dyspnea, hypoxemia, diffuse alveolar infiltrates, and respiratory failure
- Intestinal perforations
References
1. Glauser J, Queen JR. Non-Cardiac Cocaine Toxicity. JEM Feb 2007;32(2):181-6.