Recurrent Febrile Neutropenia and Thrombocytopenia in a Chronic Cocaine User: A Case of Levamisole Induced Complications

Author:

Martinez Eduardo12,Alvi Raza23,Venkatram Sindhaghatta12,Diaz-Fuentes Gilda12

Affiliation:

1. Division of Pulmonary and Critical Care Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, USA

2. Albert Einstein College of Medicine, Bronx, NY 10461, USA

3. Department of Internal Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, USA

Abstract

Cocaine is used by approximately 1.5 million Americans each month and up to 69% of the cocaine seized contains levamisole. The real incidence of cocaine-levamisole induced neutropenia is unclear but probably underestimated. Associated complications include fever, thrombocytopenia, skin-vasculitis disorders, and rarely kidney injury. We present a young male, with chronic active cocaine use presenting with recurrent episodes of febrile neutropenia and thrombocytopenia. He underwent extensive work-up and was treated with many antibiotics and we suspect that his neutropenia and thrombocytopenia were caused by recurrent cocaine-levamisole use.

Publisher

Hindawi Limited

Subject

Critical Care and Intensive Care Medicine

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Rheumatic manifestations associated with cocaine addiction;Revista Colombiana de Reumatología (English Edition);2020-10

2. Rheumatic manifestations associated with cocaine addiction;Revista Colombiana de Reumatología;2020-10

3. Adultération de la cocaïne par le lévamisole : quels risques ?;Toxicologie Analytique et Clinique;2015-12

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