Needle embolism is a rare complication of intravenous habit. Clinical manifestations include recurrent pericarditis, tamponade, cardiac perforation, and infective endocarditis. We describe the case of needle embolization in a young intravenous opiate abuser. We describe a rare complication of intravenous misuse in a 23-year-old patient. He presented at the emergency department with chest pain and shortness of breath. He complained of remittent fever ensued 6 months before. Echocardiographic and radiologic images revealed pericardial effusion and a needle fragment inside the pericardium. The needle was removed through left-anterior mini-thoracotomy, after CT-guided carbon tracking. The presence of a foreign body within the heart resulted from the migration of a needle fragment from a peripheral vessel. It caused fever and recurrent pericarditis. In similar cases, surgical extraction is the therapy of choice.

中文翻译：

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一例滥用药物者的针栓塞，诊断和治疗挑战

针栓塞是静脉使用习惯的罕见并发症。临床表现包括复发性心包炎，填塞，心脏穿孔和感染性心内膜炎。我们描述了在年轻的静脉鸦片滥用者中栓塞针头的情况。我们描述了一名23岁患者中罕见的静脉滥用并发症。他在急诊科表现出胸痛和呼吸急促。他抱怨六个月前接re而至。超声心动图和影像学检查显示心包积液和心包内的针头碎片。在CT引导下进行碳追踪后，通过左前微型开胸手术取下针头。心脏内异物的存在是由于针头碎片从周围血管的迁移所致。它引起发烧和复发性心包炎。