A new drug with a nasty bite: A case of krokodil-induced skin necrosis in an intravenous drug user

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Commentary on “A new drug with a nasty bite: A case of krokodil-induced skin necrosis in an intravenous drug user”

To the Editor: In a recent article in JAAD Case Reports, Haskin and colleagues implicate krokodil as the cause of skin lesions in a young woman with ongoing intravenous drug abuse. The only evidence supporting krokodil as the cause is the history from the patient. With no analytical confirmation, either from bodily fluids from the patient or from the injected substance, it is difficult to accep...

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Reply to: “Commentary on ‘A new drug with a nasty bite: A case of krokodil-induced skin necrosis in an intravenous drug user’”

Reply to: ''Commentary on 'A new drug with a nasty bite: A case of krokodil-induced skin necrosis in an intravenous drug user''' To the Editor: I thank the authors for their reply to our article. Levamisole, an adulterant most commonly found in cocaine, can be associated with skin vasculitis resulting in ulcerating lesions. 1,2 The most common cutaneous findings are characteristic pur-puric les...

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A case of septicaemic anthrax in an intravenous drug user

BACKGROUND In 2000, Ringertz et al described the first case of systemic anthrax caused by injecting heroin contaminated with anthrax. In 2008, there were 574 drug related deaths in Scotland, of which 336 were associated with heroin and or morphine. We report a rare case of septicaemic anthrax caused by injecting heroin contaminated with anthrax in Scotland. CASE PRESENTATION A 32 year old int...

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Pericardial abscess in an intravenous drug user: a case report.

A 45 year old man, intravenous drug user, without history of systemic illness, presented with fever, chills and an anterior left thorax pulsatile mass. Echocardiogram showed an anterior mediastinal fluid collection with no apparent pericardial communication and without evidence of endocarditis. Chest tomography revealed a large left anterior mediastinal abscess with multiple pulmonary abscesses...

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ژورنال

عنوان ژورنال: JAAD Case Reports

سال: 2016

ISSN: 2352-5126

DOI: 10.1016/j.jdcr.2016.02.007