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American Journal of Roentgenology, Vol 103, 522-532, Copyright © 1968 by American Roentgen Ray Society

THE ROENTGEN FINDINGS IN ACUTE HEROIN INTOXICATION

WILHELM Z. STERN M.D.1, PAUL W. SPEAR M.D.1, and HAROLD G. JACOBSON M.D.1

1 From the Departments of Radiology and Medicine, Montefiore Hospital and Medical Center (Morrisania Hospital Affiliation) and the Department of Radiology, the Albert Einstein College of Medicine, New York, New York

The medical complications of heroin addiction are divided into two categories: those due directly to heroin (overdose syndrome); and infectious complications associated with nonsterile techniques of injection by the addict.

The roentgen findings in 15 young patients are described, with particular emphasis on the pulmonary changes encountered in acute heroin intoxication. These findings consist of an alveolar pattern of pulmonary edema, varying in severity but generally showing quick clearing unless the overdose is rapidly fatal or complicated by pulmonary infection. The importance of the roentgen examination for detection of pulmonary edema in these patients is stressed.

The roentgen findings in the infectious complications of heroin addiction are also briefly described and include bronchopneumonia, pulmonary abscess, septic thromboembolic phenomena, pyogenic spondylitis and tetanus.


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