• Am J Emerg Med · Jul 2020

    Case Reports

    Nitrous oxide inhalant abuse and massive pulmonary embolism in COVID-19.

    • Melanie F Molina, Ahad A Al Saud, Abdullah A Al Mulhim, Andrew S Liteplo, and Hamid Shokoohi.
    • Department of Emergency Medicine, Massachusetts General Hospital, 326 Cambridge Street, Suite 410, Boston, MA 02114, United States of America. Electronic address: Melanie.Molina@MGH.HARVARD.EDU.
    • Am J Emerg Med. 2020 Jul 1; 38 (7): 1549.e1-1549.e2.

    AbstractA 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).Copyright © 2020 Elsevier Inc. All rights reserved.

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