title: Recurrent febrile neutropenia and thrombocytopenia in a chronic cocaine user: a case of levamisole induced complications.
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.
authors: Division of Pulmonary and Critical Care Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, USA ; Albert Einstein College of Medicine, Bronx, NY 10461, USA.
authors: Eduardo
authors: E
authors: Martinez
authors: Department of Internal Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, USA ; Albert Einstein College of Medicine, Bronx, NY 10461, USA.
authors: Raza
authors: R
authors: Alvi
authors: Division of Pulmonary and Critical Care Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, USA ; Albert Einstein College of Medicine, Bronx, NY 10461, USA.
authors: Sindhaghatta
authors: S
authors: Venkatram
authors: Division of Pulmonary and Critical Care Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, USA ; Albert Einstein College of Medicine, Bronx, NY 10461, USA.
authors: Gilda
authors: G
authors: Diaz-Fuentes