Case Presentation: We present a case of a 20-year old male with past medical history of polysubstance abuse and major depressive disorder who was found unresponsive by his roommate in the morning after black tar heroin use. Roommate injected Narcan without effect and called EMS. Roommate reported both the patient and himself were chronic heroin [...]

Case Presentation: A 33 year old male with systemic lupus erythematosus (SLE) complicated by recurrent diffuse alveolar hemorrhage (DAH) presented with ataxia, lethargy, cough, and dyspnea. He had been recently exposed to high intensity immunosuppression for his DAH as it was thought to be secondary to SLE. However, it was later diagnosed as herpes simplex [...]

Case Presentation: 42 year old male with history of active substance abuse and multiple psychiatric diagnosis who presented with acute onset of progressive weakness and multiple cranial nerve palsies (extra ocular, facial and bulbar involvement) in the setting of recent IV and subcutaneous heroin use. Patient initially had onset of generalized fatigue, dysarthria and left [...]

Background: Poisoning by narcotics is a major global health concern, driven by the widespread misuse of opioids, synthetic drugs, and other narcotics. The ongoing opioid epidemic has significantly increased the prevalence of narcotic poisoning, highlighting the need for preventive measures, education, and access to life-saving treatments like naloxone. This study analyzed trends and disparities in [...]