Levamisole Contaminated Cocaine Induced Cutaneous Vasculitis Syndrome

Author Affiliation Kellee T. James, PharmD  University of California San Francisco, Department of Clinical Pharmacy, San Francisco, California Alissa Detz, MD  Robert Wood Johnson Foundation Clinical Scholar, University of California Los Angeles, Department of Medicine, Los Angeles, California Zlatan Coralic, PharmD  University of California San Francisco, Department of Clinical Pharmacy, San Francisco, CaliforniaUniversity of California […]

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Levamisole-adulterated Cocaine Induced Vasculitis with Skin Ulcerations

A 40-year-old man with Hepatitis C and a history of cocaine abuse presented with multiple stages of painful rashes on his extremities and ears. On examination, the patient had several areas of purpuric macules and retiform purpura to his legs and ears, as well as large ulcerations with erythematous borders on bilateral lower extremities

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Critical Care

Cocaine-Associated Seizures and Incidence of Status Epilepticus

Acute complications from cocaine abuse are commonly treated in the emergency department (ED); one of the most consequential is status epilepticus. The incidence of this complication is not clearly defined in the prior literature on cocaine-associated sequelae. We evaluated the incidence of status epilepticus in patients with seizures secondary to suspected cocaine use.

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Contact Information

WestJEM/ Department of Emergency Medicine
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3800 W Chapman Ave Ste 3200
Orange, CA 92868, USA
Phone: 1-714-456-6389


ISSN: 1936-900X
e-ISSN: 1936-9018

ISSN: 2474-252X

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Emergency Medicine is a specialty which closely reflects societal challenges and consequences of public policy decisions. The emergency department specifically deals with social injustice, health and economic disparities, violence, substance abuse, and disaster preparedness and response. This journal focuses on how emergency care affects the health of the community and population, and conversely, how these societal challenges affect the composition of the patient population who seek care in the emergency department. The development of better systems to provide emergency care, including technology solutions, is critical to enhancing population health.