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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 38-Year-Old Woman With Heroin Addiction, Ptosis, Respiratory Failure, and Proximal Myopathy

Thejeswi Pujar, MD; Irene M. Spinello, MD, FCCP
Author and Funding Information

*From the Department of Medicine (Dr. Pujar) and the ICU (Dr. Spinello), Kern Medical Center, Bakersfield, CA.

Correspondence to: Irene M. Spinello, MD, FCCP, Kern Medical Center, ICU, 1830 Flower St, Bakersfield, CA 93305; e-mail: spinelloi@kernmedctr.com


The authors have reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


Chest. 2008;134(4):867-870. doi:10.1378/chest.08-0402
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Extract

A 38-year-old woman with complaints of generalized weakness for 2 days and a long-standing history of heroin abuse was found unresponsive at her home. The patient was ventilated with a bag mask by the emergency services personnel in route to the emergency department (ED). There was no response to the administration of naloxone by emergency services personnel. The medical history obtained from the chart was noncontributory, and the patient's surgical history was significant only for a cesarean section.

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