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KOKAİN BODY PACKER SENDROMUNA BAĞLI MIYOKARD ENFARKTÜSÜ -BIR OLGU SUNUMU

Year 2023, Volume: 3 Issue: 3, 52 - 58, 30.12.2023

Ibrahim Sarbay Halil Dogan

Abstract

Giriş: Body packing, çok miktarda yasadışı maddenin kaçakçılık amacıyla kişinin vücudu içinde gizlenmesini tarif etmektedir. İstanbul, Türkiye birçok havayolunun bağlandığı ana hava trafiği aktarma merkezlerinden biri olması nedeniyle, body packing kaçakçılarının rotaları üzerinde olma potansiyelindedir. Bu olgu sunumunda, kokain body packer sendromuna bağlı bir miyokard enfarktüsü (MI) vakası sunulmuştur.
Olgu Sunumu: 43 yaşındaki Venezuela uyruklu kadın, uçuş sırasında nöbet geçirme şüphesi ve kötüleşme nedeniyle Acil Servis'e getirildi ve kokain Body Packer Sendromuna bağlı MI tanısı aldı.
Sonuç: Kokain paketlerinin sızması veya yırtılması nedeniyle body packerlarda intoksikasyon görülebilir. Bunun olası sonuçlarından biri, kokain intoksikasyonuna bağlı MI'dır.

Keywords

body packing miyokard infarktüsü kokain

References

  • McCarron MM, Wood JD. The Cocaine ‘Body Packer’ Syndrome: Diagnosis and Treatment. JAMA J Am Med Assoc. 1983;250(11):1417–20.
  • Pidoto RR, Agliata AM, Bertolini R et al. A New Method Of Packaging Cocaine For International Traffic And Implications For The Management Of Cocaine Body Packers. Science (80- ). 2002;23(2):149–53.
  • Rosas JAA, Vasquez CG, Blanco IV. Body packers : radiological challenge to new packaging techniques. ECR 2012. 2012;1–16.
  • Traub SJ, Hoffman RS, Nelson LS. Body Packing — The Internal Concealment of Illicit Drugs. N Engl J Med. 2003;349(26):2519–26.
  • Roque Bravo R, Faria AC, Brito-da-Costa AM, et al. Cocaine: An Updated Overview on Chemistry, Detection, Biokinetics, and Pharmacotoxicological Aspects including Abuse Pattern. Toxins (Basel). 2022;14(4):278. Published 2022 Apr 13.
  • Bulakci M, Kalelioglu T, Bulakci BB et al. Comparison of diagnostic value of multidetector computed tomography and X-ray in the detection of body packing. Eur J Radiol. Elsevier Ireland Ltd; 2013;82(8):1248–54. Pramanik P, Vidua RK. Sudden Cardiac Death of a Body Packer Due to Cocaine Cardiotoxicity. Clin Med Insights Pathol. 2016;9:33–5.
  • De Prost N, Lefebvre A, Questel F et al. Prognosis of cocaine body-packers. Intensive Care Med. 2005;31(7):955–8.
  • Marcovigi P, Leoni S, Calbi G et al. [Acute cocaine poisoning in a body packer. Clinical case]. Minerva Anestesiol [Internet]. 1995 Mar;61(3):109–12. Available from: http://www.ncbi.nlm.nih.gov/pubmed/7675260
  • Stankowski R V., Kloner RA, Rezkalla SH. Cardiovascular consequences of cocaine use. Trends Cardiovasc Med [Internet]. Elsevier; 2015;25(6):517–26.
  • DeFilippis EM, Singh A, Divakaran S et al. Cocaine and Marijuana Use among Young Adults Presenting with Myocardial Infarction. J Am Coll Cardiol. 2018;71(22).
  • Schwartz BG, Rezkalla S, Kloner RA. Cardiovascular effects of cocaine. Circulation. 2010;122(24):2558–69.
  • Sehatbakhsh S, Kushnir A, Furlan S et al. Importance of a Risk Stratification Strategy to Identify High-risk Patients Presenting With Cocaine-associated Acute Coronary Syndrome. Crit Pathw Cardiol. 2018 Sep;17(3):147–50.
  • Gitter MJ, Goldsmith SR, Dunbar DN et al. Cocaine and chest pain: Clinical features and outcome of patients hospitalized to rule out myocardial infarction. Ann Intern Med. 1991;115(4):277–82.
  • Singh V, Rodriguez AP, Thakkar B et al. Hospital Admissions for Chest Pain Associated with Cocaine Use in the United States. Vol. 130, American Journal of Medicine. Elsevier Ltd; 2017. 688-698 p.
  • Hollander JE, Hoffman RS, Burstein JL, Shih RD THJ. Cocaine-associated myocardial infarction. Mortality and complications. Cocaine-Associated Myocardial Infarction Study Group. Arch Intern Med. 1995;155:1081–6.

MYOCARDIAL INFARCTION DUE TO COCAINE BODY PACKER SYNDROME – A CASE REPORT

Year 2023, Volume: 3 Issue: 3, 52 - 58, 30.12.2023

Ibrahim Sarbay Halil Dogan

Abstract

Introduction: “Body packing” refers to an act of ingesting large numbers of illicit drug-filled packets for smuggling purposes. Due to the fact that Istanbul, Turkey is considered to be one of the main air traffic hubs connecting many international airlines, it is potentially on the routes of body packing smugglers. This case report presents a case of myocardial infarction (MI) due to cocaine Body Packer Syndrome.
Case Presentation: A 43-year-old woman of Venezuelan nationality was brought to the Emergency Department on suspicion of seizure and deterioration during her flight and diagnosed with MI due to cocaine Body Packer Syndrome.
Conclusion: Body packers may have intoxication due to the leakage or rupture of the cocaine packets. One of the consequences is MI related to cocaine intoxication.

Keywords

Body Packing Myocardial Infarction cocaine

References

  • McCarron MM, Wood JD. The Cocaine ‘Body Packer’ Syndrome: Diagnosis and Treatment. JAMA J Am Med Assoc. 1983;250(11):1417–20.
  • Pidoto RR, Agliata AM, Bertolini R et al. A New Method Of Packaging Cocaine For International Traffic And Implications For The Management Of Cocaine Body Packers. Science (80- ). 2002;23(2):149–53.
  • Rosas JAA, Vasquez CG, Blanco IV. Body packers : radiological challenge to new packaging techniques. ECR 2012. 2012;1–16.
  • Traub SJ, Hoffman RS, Nelson LS. Body Packing — The Internal Concealment of Illicit Drugs. N Engl J Med. 2003;349(26):2519–26.
  • Roque Bravo R, Faria AC, Brito-da-Costa AM, et al. Cocaine: An Updated Overview on Chemistry, Detection, Biokinetics, and Pharmacotoxicological Aspects including Abuse Pattern. Toxins (Basel). 2022;14(4):278. Published 2022 Apr 13.
  • Bulakci M, Kalelioglu T, Bulakci BB et al. Comparison of diagnostic value of multidetector computed tomography and X-ray in the detection of body packing. Eur J Radiol. Elsevier Ireland Ltd; 2013;82(8):1248–54. Pramanik P, Vidua RK. Sudden Cardiac Death of a Body Packer Due to Cocaine Cardiotoxicity. Clin Med Insights Pathol. 2016;9:33–5.
  • De Prost N, Lefebvre A, Questel F et al. Prognosis of cocaine body-packers. Intensive Care Med. 2005;31(7):955–8.
  • Marcovigi P, Leoni S, Calbi G et al. [Acute cocaine poisoning in a body packer. Clinical case]. Minerva Anestesiol [Internet]. 1995 Mar;61(3):109–12. Available from: http://www.ncbi.nlm.nih.gov/pubmed/7675260
  • Stankowski R V., Kloner RA, Rezkalla SH. Cardiovascular consequences of cocaine use. Trends Cardiovasc Med [Internet]. Elsevier; 2015;25(6):517–26.
  • DeFilippis EM, Singh A, Divakaran S et al. Cocaine and Marijuana Use among Young Adults Presenting with Myocardial Infarction. J Am Coll Cardiol. 2018;71(22).
  • Schwartz BG, Rezkalla S, Kloner RA. Cardiovascular effects of cocaine. Circulation. 2010;122(24):2558–69.
  • Sehatbakhsh S, Kushnir A, Furlan S et al. Importance of a Risk Stratification Strategy to Identify High-risk Patients Presenting With Cocaine-associated Acute Coronary Syndrome. Crit Pathw Cardiol. 2018 Sep;17(3):147–50.
  • Gitter MJ, Goldsmith SR, Dunbar DN et al. Cocaine and chest pain: Clinical features and outcome of patients hospitalized to rule out myocardial infarction. Ann Intern Med. 1991;115(4):277–82.
  • Singh V, Rodriguez AP, Thakkar B et al. Hospital Admissions for Chest Pain Associated with Cocaine Use in the United States. Vol. 130, American Journal of Medicine. Elsevier Ltd; 2017. 688-698 p.
  • Hollander JE, Hoffman RS, Burstein JL, Shih RD THJ. Cocaine-associated myocardial infarction. Mortality and complications. Cocaine-Associated Myocardial Infarction Study Group. Arch Intern Med. 1995;155:1081–6.
There are 15 citations in total.

Details

Primary Language English
Subjects Forensic Epidemiology
Journal Section Case Reports
Authors

Ibrahim Sarbay 0000-0001-8804-2501

Halil Dogan 0000-0003-4751-030X

Publication Date December 30, 2023
Submission Date September 7, 2023
Published in Issue Year 2023 Volume: 3 Issue: 3

Cite

APA Sarbay, I., & Dogan, H. (2023). MYOCARDIAL INFARCTION DUE TO COCAINE BODY PACKER SYNDROME – A CASE REPORT. Güncel Tıbbi Araştırmaları Dergisi, 3(3), 52-58.
AMA Sarbay I, Dogan H. MYOCARDIAL INFARCTION DUE TO COCAINE BODY PACKER SYNDROME – A CASE REPORT. CJMR. December 2023;3(3):52-58.
Chicago Sarbay, Ibrahim, and Halil Dogan. “MYOCARDIAL INFARCTION DUE TO COCAINE BODY PACKER SYNDROME – A CASE REPORT”. Güncel Tıbbi Araştırmaları Dergisi 3, no. 3 (December 2023): 52-58.
EndNote Sarbay I, Dogan H (December 1, 2023) MYOCARDIAL INFARCTION DUE TO COCAINE BODY PACKER SYNDROME – A CASE REPORT. Güncel Tıbbi Araştırmaları Dergisi 3 3 52–58.
IEEE I. Sarbay and H. Dogan, “MYOCARDIAL INFARCTION DUE TO COCAINE BODY PACKER SYNDROME – A CASE REPORT”, CJMR, vol. 3, no. 3, pp. 52–58, 2023.
ISNAD Sarbay, Ibrahim - Dogan, Halil. “MYOCARDIAL INFARCTION DUE TO COCAINE BODY PACKER SYNDROME – A CASE REPORT”. Güncel Tıbbi Araştırmaları Dergisi 3/3 (December 2023), 52-58.
JAMA Sarbay I, Dogan H. MYOCARDIAL INFARCTION DUE TO COCAINE BODY PACKER SYNDROME – A CASE REPORT. CJMR. 2023;3:52–58.
MLA Sarbay, Ibrahim and Halil Dogan. “MYOCARDIAL INFARCTION DUE TO COCAINE BODY PACKER SYNDROME – A CASE REPORT”. Güncel Tıbbi Araştırmaları Dergisi, vol. 3, no. 3, 2023, pp. 52-58.
Vancouver Sarbay I, Dogan H. MYOCARDIAL INFARCTION DUE TO COCAINE BODY PACKER SYNDROME – A CASE REPORT. CJMR. 2023;3(3):52-8.
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