Lesiones destructivas de la línea media facial secundarias al consumo de cocaína. Caso clínico

Vasculitic midline destructive lesions can be a complication of cocaine use. We report a 44-year-old man who presented with a two months history of left facial pain associated with ipsilateral facial paralysis and a cheek phlegmon. Magnetic resonance imaging showed broad soft tissue destruction link...

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Autores principales:	Barrera O.,Manuel, Rivera V.,Matías de la, Vela U.,Javier, Barrera M.,Rodrigo, Mönckeberg F.,Gustavo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2018
Materias:	Autoimmune Diseases Cocaine-Related Disorders Paranasal Sinus Diseases
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000901070
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spelling	oai:scielo:S0034-988720180009010702019-02-13Lesiones destructivas de la línea media facial secundarias al consumo de cocaína. Caso clínicoBarrera O.,ManuelRivera V.,Matías de laVela U.,JavierBarrera M.,RodrigoMönckeberg F.,Gustavo Autoimmune Diseases Cocaine-Related Disorders Paranasal Sinus Diseases Vasculitic midline destructive lesions can be a complication of cocaine use. We report a 44-year-old man who presented with a two months history of left facial pain associated with ipsilateral facial paralysis and a cheek phlegmon. Magnetic resonance imaging showed broad soft tissue destruction linked to important cranial nerve involvement. Antibiotic and antifungal therapy was started and multiple surgical debridement procedures were performed, with no clinical improvement. Microbiological analysis was negative. Finally, thanks to the histologic findings corresponding to vasculitis and granuloma formation and the history of cocaine abuse, a cocaine induced midline destructive lesion was diagnosed.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.9 20182018-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000901070es10.4067/s0034-98872018000901070
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Autoimmune Diseases Cocaine-Related Disorders Paranasal Sinus Diseases
spellingShingle	Autoimmune Diseases Cocaine-Related Disorders Paranasal Sinus Diseases Barrera O.,Manuel Rivera V.,Matías de la Vela U.,Javier Barrera M.,Rodrigo Mönckeberg F.,Gustavo Lesiones destructivas de la línea media facial secundarias al consumo de cocaína. Caso clínico
description	Vasculitic midline destructive lesions can be a complication of cocaine use. We report a 44-year-old man who presented with a two months history of left facial pain associated with ipsilateral facial paralysis and a cheek phlegmon. Magnetic resonance imaging showed broad soft tissue destruction linked to important cranial nerve involvement. Antibiotic and antifungal therapy was started and multiple surgical debridement procedures were performed, with no clinical improvement. Microbiological analysis was negative. Finally, thanks to the histologic findings corresponding to vasculitis and granuloma formation and the history of cocaine abuse, a cocaine induced midline destructive lesion was diagnosed.
author	Barrera O.,Manuel Rivera V.,Matías de la Vela U.,Javier Barrera M.,Rodrigo Mönckeberg F.,Gustavo
author_facet	Barrera O.,Manuel Rivera V.,Matías de la Vela U.,Javier Barrera M.,Rodrigo Mönckeberg F.,Gustavo
author_sort	Barrera O.,Manuel
title	Lesiones destructivas de la línea media facial secundarias al consumo de cocaína. Caso clínico
title_short	Lesiones destructivas de la línea media facial secundarias al consumo de cocaína. Caso clínico
title_full	Lesiones destructivas de la línea media facial secundarias al consumo de cocaína. Caso clínico
title_fullStr	Lesiones destructivas de la línea media facial secundarias al consumo de cocaína. Caso clínico
title_full_unstemmed	Lesiones destructivas de la línea media facial secundarias al consumo de cocaína. Caso clínico
title_sort	lesiones destructivas de la línea media facial secundarias al consumo de cocaína. caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2018
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000901070
work_keys_str_mv	AT barreraomanuel lesionesdestructivasdelalineamediafacialsecundariasalconsumodecocainacasoclinico AT riveravmatiasdela lesionesdestructivasdelalineamediafacialsecundariasalconsumodecocainacasoclinico AT velaujavier lesionesdestructivasdelalineamediafacialsecundariasalconsumodecocainacasoclinico AT barreramrodrigo lesionesdestructivasdelalineamediafacialsecundariasalconsumodecocainacasoclinico AT monckebergfgustavo lesionesdestructivasdelalineamediafacialsecundariasalconsumodecocainacasoclinico
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Lesiones destructivas de la línea media facial secundarias al consumo de cocaína. Caso clínico

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