Aspiration of the nasal septum: A new complication of cocaine abuse
A 55-year-old man with a habit of nasal inhalation of cocaine developed a chronic cough. At bronchoscopy, a foreign body was discovered in the bronchus intermedius, which was histopathologically identified as bone. A DNA-print analysis showed that the bone was from the patient. Because the patient had nasal septum perforation, it was deduced that he had aspirated his own nasal septum. The observation of pulmonary auto-aspiration of the nasal septum is discussed in the context of known neuropsychiatric, otolaryngologic, and cardiopulmonary complications of cocaine abuse.