Clinicians face a significant problem when evaluating a feverish intravenous drug user. While the overwhelming of heroin users will have a clear source of infection, up to 36% will get a concealed illness.

Although thorough assessments of these individuals are needed, recognising benign sources of fever in injecting drug users may reduce the need for costly workups. As a result cotton fever symptoms, we describe a case of cotton disease, a rare febrile response among intravenous drug users.

Four minutes after shooting heroin, a 24-year-old woman went to the emergency clinic with acute middle joint problems, fever, nausea, diarrhoea, stomach discomfort, and anorexia. The patient was feverish, acting as the primary, and frequent blood during the exam.

Injection drug usage is linked to a variety of infectious and non-infectious problems. Soft-tissue disorders, overdosing, drunkenness, and detox are the most prevalent related problems encountered by management doctors. Fever with active injectable drug use is a common and difficult triage challenge in this demographic.

Despite multiple failed attempts to construct sensitive decision criteria to assist ambulatory triage in these patients, doctors are still unable to consistently eliminate occult illnesses such heart and reactive arthritis.

Clinicians face a significant problem when evaluating a feverish injected drug user. While the overwhelming of heroin users will have a clear source of infection, up to 36% will get a concealed illness. Although thorough assessments of these individuals are needed, recognising benign sources of temperature in injecting drug users may reduce the need for costly workups. 

As a result, we describe a case of cotton disease, a rare febrile response among intravenous drug users. Four minutes after shooting heroin, a 24-year-old woman went to the emergency clinic with acute middle joint problems, fever, nausea, diarrhoea, stomach discomfort, and anorexia. The patient was feverish, acting as the primary, and frequent blood during the examination.