Cotton fever: Difference between revisions
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== Background == |
== Background == |
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* Mimics sepsis in patients who inject drugs and filter those drugs through cotton balls, particularly associated with heroin |
* Mimics sepsis in patients who inject drugs and filter those drugs through cotton balls, particularly associated with heroin |
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| + | * [[Pantoea agglomerans]] on the cotton plant releases endotoxins before the plant is processed, which are then injected along with the recreational substance, resulting in a sepsis syndrome without infection |
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== Clinical Manifestations == |
== Clinical Manifestations == |
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Latest revision as of 09:47, 11 October 2022
Background
- Mimics sepsis in patients who inject drugs and filter those drugs through cotton balls, particularly associated with heroin
- Pantoea agglomerans on the cotton plant releases endotoxins before the plant is processed, which are then injected along with the recreational substance, resulting in a sepsis syndrome without infection
Clinical Manifestations
- Self-resolving fevers, leukocytosis, myalgias, and nausea/vomiting, with negative blood cultures
- Usually within 10 to 30 minutes after injection, and self-limited
Further Reading
- "Cotton fever": A benign febrile syndrome in intravenous drug abusers. J Emerg Med. 1990;8(2):135-139. doi: 10.1016/0736-4679(90)90222-H.
