2022
DOI: 10.1136/bcr-2021-247315
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Pulmonary embolus associated with a rare provoking factor: recreational nitrous oxide use

Abstract: Pulmonary embolism (PE) is a common acute presentation which may be provoked by multiple factors. We present the unique case of a young man with no underlying health conditions who was diagnosed with bilateral PE which we believe was provoked by chronic use of nitrous oxide (NO), a potentially under-recognised risk factor for PE. NO is a substance that is commonly used recreationally, particularly among young adults in the UK. It has been shown to increase serum homocysteine levels which may create a prothromb… Show more

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