A Rare Case of Methamphetamine-Induced Lung Injury During the Ongoing COVID-19 Pandemic

Methamphetamine-induced lung injury is a very rare entity and is poorly understood due to the paucity of available literature. It can present with respiratory failure, often requiring immediate ventilatory support and conservative management. Secondary bacterial infection can result from smoking contaminated crystalline methamphetamine. Although there is growing evidence for the use of steroids in acute respiratory distress syndrome (ARDS), the literature is limited regarding cases of non-cardiogenic pulmonary edema due to meth use. We present a case of ARDS due to methamphetamine use, which dramatically resolved with ventilatory support. A low threshold to investigate drug-induced lung injury in suspicious cases can limit unnecessary utilization of resources during the ongoing coronavirus disease 2019 (COVID-19) pandemic.