Street drug alert: dewormer in cocaine; anthrax in heroin

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Journal Name: 
Emergency Medicine News
Year Published: 
2011
Article Keywords: 
cocaine; levamisole; agranulocytosis; heroin; anthrax
Article Brief Summary: 

We have started seeing these- patients with neutropenia, also patients with ulcerated lesions, especially to the face. Ask about cocaine use!
This is the cocaine tainted with levamisole, a veterinary dewormer. Up to 70% of the cocaine seized by the DEA contains levamisole.
NEJM has cool and impressive case of vasculitis on its images in Medicine section.
Call the PCC!!!