Pulmonary-renal syndrome secondary to cocaine-levamisole-induced vasculitis: A case report

Reumatol Clin (Engl Ed). 2020 May-Jun;16(3):239-241. doi: 10.1016/j.reuma.2018.02.014. Epub 2018 May 18.
[Article in English, Spanish]

Abstract

Pulmonary-renal syndrome has rarely been reported as the clinical presentation of vasculitis caused by the consumption of cocaine adulterated with levamisole. We report the case of a patient in whom we detected the clinical manifestations and indicate the difficulties that arose in relation to the diagnostic and therapeutic approach.

Keywords: Alveolar hemorrhage; Cocaine; Cocaína; Hemorragia alveolar; Levamisol; Levamisole; Pulmonary-renal syndrome; Síndrome pulmón-riñón; Vasculitis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cocaine-Related Disorders / complications*
  • Drug Contamination
  • Glomerulonephritis / chemically induced*
  • Hemorrhage / chemically induced*
  • Humans
  • Levamisole / poisoning*
  • Lung Diseases / chemically induced*
  • Male
  • Vasculitis / chemically induced*
  • Vasculitis / complications

Substances

  • Levamisole

Supplementary concepts

  • Rapidly progressive glomerulonephritis with pulmonary hemorrhage