Broncho-Atmospheric Fistula Associated With Xylazine Wound

Xylazine, also known as “tranq” wounds, are typically found on extremities of drug users with injection behaviors. Here, we present a patient with a large chest wound with a broncho-atmospheric fistula and destruction of surrounding skeletal structures, exposing internal structures to external pathogens. Our case emphasizes that although healing potential is great with extremity xylazine wounds, chest wounds may be irreversibly destructive.