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Am J Emerg Med Nitrous Oxide Inhalant Abuse and Massive Pulmonary Embolism in COVID-19

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  • Am J Emerg Med Nitrous Oxide Inhalant Abuse and Massive Pulmonary Embolism in COVID-19


    Am J Emerg Med


    . 2020 May 16.
    doi: 10.1016/j.ajem.2020.05.023. Online ahead of print.
    Nitrous Oxide Inhalant Abuse and Massive Pulmonary Embolism in COVID-19


    Melanie F Molina 1 , Ahad A Al Saud 1 , Abdullah A Al Mulhim 1 , Andrew S Liteplo 2 , Hamid Shokoohi 2



    Affiliations

    Abstract

    A patient presented to the emergency department with altered mental status and lower extremity weakness in the setting of nitrous oxide inhalant abuse and Coronavirus Disease-2019 (COVID-19) infection. He subsequently developed hypotension and severe hypoxia, found to have a saddle pulmonary embolus (PE) with right heart strain requiring alteplase (tPA).


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