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Simultaneous Bilateral Avascular Necrosis of the Femoral Heads Associated With Cocaine Use

We present a case of a 38-year-old female patient, presenting with debilitating simultaneous bilateral avascular necrosis of the femoral head (AVNFH) 10 years after cocaine detoxification, making her wheelchair-bound for six months. This case is reported for the rarity of association of cocaine with...

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Detalles Bibliográficos
Autores principales: EL-Yahchouchi, Christine, Moussa, Mohamad K, Khalaf, Zaynab, Moussallem, Charbel D
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7500714/
https://www.ncbi.nlm.nih.gov/pubmed/32963906
http://dx.doi.org/10.7759/cureus.9865
Descripción
Sumario:We present a case of a 38-year-old female patient, presenting with debilitating simultaneous bilateral avascular necrosis of the femoral head (AVNFH) 10 years after cocaine detoxification, making her wheelchair-bound for six months. This case is reported for the rarity of association of cocaine with AVNFH, and for the unique fact of the simultaneous bilateral condition occurring a long time after cocaine ingestion in the absence of other important risk factors. This report postulates cocaine as a possible cause of bilateral AVNFH, which can increase the index of suspicion of this pathology, allowing early diagnosis and better outcomes.