The next morning, the patient was asymptomatic and was discharged, recovering without sequellae. An abdominal x-ray study revealed a foreign body in the right lower quadrant consistent with the Brillo pad filter. Fiberoptic laryngoscopy showed left posterior arytenoid edema and swelling.
A lateral neck x-ray study showed a normal epiglottis and no foreign body. No foreign body or burn was seen on indirect laryngoscopy. The O2 saturation was 96%, and the ethanol concentration was 100 mg/dl. There were no visible oropharyngeal burns and the lungs were clear to auscultation, but she had intermittent inspiratory stridor. On physical examination, she was afebrile with a pulse of 105 beats/min and respiratory rate of 24 breaths/min. She complained of "burning" in her throat, a foreign body sensation, and change in her voice, but no dyspnea, dysphagia, or abdominal pain. She was concerned that she might have inhaled the "screen" from her crack pipe, a piece of Brillo pad the size of her fingertip. A 34-year-old female presented 7 h after drinking beer and smoking crack. We report an unusual complication of smoking crack cocaine: the aspiration and ingestion of a Brillo pad filter. Crack cocaine is commonly smoked in a pipe with a metallic filter made from a steel wool scouring pad.
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