Recurrent and Massive Life Threatening Epistaxis due to Nasal Heroin Usage

Recurrent and Massive Life Threatening Epistaxis due to Nasal Heroin Usage

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Epistaxis, active bleeding from the nose, is a common ear nose and throat emergency, and can be severe or even fatal.We report a severe life threatening recurrent massive goblin toe d2r nasal bleeding caused by intranasal heroin use that has not hitherto been reported in the English literature.A 24-year-old male who took heroin several times nasally presented voyage et cie santal candle with massive nasal bleeding.A blood transfusion and an operation to halt nasal bleeding were required.The patient did not experience a bleeding attack 2 months following cessation of nasal heroin use.