Abstract

Development of pulmonary granulomas from injected foreign substances is a known complication of intravenous drug abuse.1 We observed the development of foreign body granulomas in the lungs of a patient who abused methamphetamines solely by nasal inhalation. CASE REPORT J.R. was a 15-year-old white boy who presented with a 1-month history of intermittent fever, night sweats, pleuritic chest pain on inspiration, and cough. He specifically denied anorexia, weight loss, intravenous drug abuse, homosexuality, known exposure to asbestos or silicone, or contact with birds or hay. He admitted to a severalmonth history of snorting "crank," a powdered form of methamphetamines. He had smoked one pack of cigarettes per day for the previous year.

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