Presentation
Patient alcoholic, smoker, and crack user. presenting with clinical symptoms of dry cough, dyspnea, orthopnea, nocturnal paroxystic dyspnea, chest pain/tightness, prostration, fever, night sweats and chills.
Patient Data
Diffuse bilateral pulmonary involvement due to peribronchovascular and subpleural opacities, predominantly central/perihilar, thickening of interlobular septa, and opacities in ground glass at the apexes configuring mosaic paving patterns. Such changes suggest pulmonary interstitial edema, and in this clinical context, "crack lung".
Case Discussion
Patient evolved with acute respiratory failure, had to be intubated and needed norepinephrine. After advanced clinical support, the patient had improvement in symptoms and was discharged from ICU.