The Drug-Induced Respiratory Disease Website
Philippe Camus, M.D.
Browse by »
Neutropenia, agranulocytosis (w/wo infection/sepsis)
Due to levamisole in the majority of cocaine samples
Last update :
Drug and radiation history
Drug singularity - Correct identification of the drug
Consistent timing of exposure v. onset of symptoms
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
Careful exlusion of another cause
Remission of symptoms with removal of drug
Recurrence with rechallenge (rarely advisable)
More detailed checklist
See also under
Abused drugs/substances (illicit-, street drugs - IV/inhaled)
Talc (inhaled, sniffed, i.v., intrapleural)
Agranulocytosis and other consequences due to use of illicit cocaine contaminated with levamisole.
Characteristic purpura of the ears, vasculitis, and neutropenia--a potential public health epidemic associated with levamisole-adulterated cocaine.
Agranulocytosis associated with cocaine use - four States, March 2008-November 2009.