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Intranasal Acetaminophen Abuse and Nasal, Pharyngeal, and Laryngotracheal Damage
A young adult female originally presented with necrosis of the nasal cavity mucosa and septum after sniffing crushed acetaminophen. She underwent endoscopic sinus surgery and debridement but continued to use acetaminophen intranasally. Four months later, the destruction had extended to include the p...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6710488/ https://www.ncbi.nlm.nih.gov/pubmed/31485385 http://dx.doi.org/10.7759/cureus.5432 |
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author | Lin, Yufan Lu, Jennifer Y Pinheiro-Neto, Carlos D Jones, David M Gildener-Leapman, Neil |
author_facet | Lin, Yufan Lu, Jennifer Y Pinheiro-Neto, Carlos D Jones, David M Gildener-Leapman, Neil |
author_sort | Lin, Yufan |
collection | PubMed |
description | A young adult female originally presented with necrosis of the nasal cavity mucosa and septum after sniffing crushed acetaminophen. She underwent endoscopic sinus surgery and debridement but continued to use acetaminophen intranasally. Four months later, the destruction had extended to include the posterior pharyngeal wall and subglottis. The diagnosis was confirmed by polarizable talc found on biopsy of the subglottis. While nasal insufflation of cocaine and hydrocodone-acetaminophen has been well-documented, intranasal abuse of exclusively acetaminophen is not well understood. This case demonstrates the destructive potential of intranasal acetaminophen use and may help physicians recognize unusual signs and symptoms of intranasal drug abuse. |
format | Online Article Text |
id | pubmed-6710488 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-67104882019-09-04 Intranasal Acetaminophen Abuse and Nasal, Pharyngeal, and Laryngotracheal Damage Lin, Yufan Lu, Jennifer Y Pinheiro-Neto, Carlos D Jones, David M Gildener-Leapman, Neil Cureus Otolaryngology A young adult female originally presented with necrosis of the nasal cavity mucosa and septum after sniffing crushed acetaminophen. She underwent endoscopic sinus surgery and debridement but continued to use acetaminophen intranasally. Four months later, the destruction had extended to include the posterior pharyngeal wall and subglottis. The diagnosis was confirmed by polarizable talc found on biopsy of the subglottis. While nasal insufflation of cocaine and hydrocodone-acetaminophen has been well-documented, intranasal abuse of exclusively acetaminophen is not well understood. This case demonstrates the destructive potential of intranasal acetaminophen use and may help physicians recognize unusual signs and symptoms of intranasal drug abuse. Cureus 2019-08-19 /pmc/articles/PMC6710488/ /pubmed/31485385 http://dx.doi.org/10.7759/cureus.5432 Text en Copyright © 2019, Lin et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Otolaryngology Lin, Yufan Lu, Jennifer Y Pinheiro-Neto, Carlos D Jones, David M Gildener-Leapman, Neil Intranasal Acetaminophen Abuse and Nasal, Pharyngeal, and Laryngotracheal Damage |
title | Intranasal Acetaminophen Abuse and Nasal, Pharyngeal, and Laryngotracheal Damage |
title_full | Intranasal Acetaminophen Abuse and Nasal, Pharyngeal, and Laryngotracheal Damage |
title_fullStr | Intranasal Acetaminophen Abuse and Nasal, Pharyngeal, and Laryngotracheal Damage |
title_full_unstemmed | Intranasal Acetaminophen Abuse and Nasal, Pharyngeal, and Laryngotracheal Damage |
title_short | Intranasal Acetaminophen Abuse and Nasal, Pharyngeal, and Laryngotracheal Damage |
title_sort | intranasal acetaminophen abuse and nasal, pharyngeal, and laryngotracheal damage |
topic | Otolaryngology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6710488/ https://www.ncbi.nlm.nih.gov/pubmed/31485385 http://dx.doi.org/10.7759/cureus.5432 |
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