After watching
Winter's Bone and hearing Mark's Crislip
podcast about a case of Strep discitis in a meth user (he was actually using it iv, not smoking or snorting), I read more about meth use and it's health implications, since my exposure to patients with this problem is limited. Meth appears to be more popular in rural areas rather than inner-city areas, were crack and heroin seem the hard drug of choice.
What I found interesting physical-finding-wise is the prevalence of meth mouth.
Meth mouth = accelerated teeth decay and loss secondary to a combination of factors:
- poor oral hygiene
- xerostomia (dry mouth)
- bruxism (teeth grinding)
- carbonated beverages
Example of meth mouth below:
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