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‘Smack’ lung
  1. May Khei Hu,
  2. Owen Dempsey
  1. Department of Respiratory Medicine, Aberdeen Royal Infirmary, Aberdeen, UK
  1. Correspondence to May Khei Hu, Department of Respiratory Medicine, Aberdeen Royal Infirmary, Aberdeen AB25 2ZN, UK;{at}

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A 57-year-old man was brought to the emergency department after attempting to ingest several packages of heroin (smack) while absconding from the police. He went into respiratory arrest and was intubated, but required high ventilation pressures. Chest radiograph revealed consolidation in the right mid-to-lower zones and CT scan of the thorax confirmed aspiration …

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  • Contributors MKH drafted and edited the manuscript. OD edited the manuscript and was directly involved in the patient’s clinical management.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Consent obtained directly from patient(s).

  • Provenance and peer review Not commissioned; internally peer reviewed.