{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T17:48:32Z","timestamp":1696873712818},"reference-count":23,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,8,8]],"date-time":"2016-08-08T00:00:00Z","timestamp":1470614400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Forensic Sciences"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Levamisole, which is used as an adulterated compound of cocaine, is currently being seen year after year in cocaine intoxication. For a few cases in the last decade, necrotic purpura and neutropenia after levamisole\/cocaine intoxication have been described in the medical community. Herein, we present an original case of levamisole intoxication of a 40\u2010year\u2010old woman who smoked heroin and cocaine few during a month. She rapidly presented an extensive necrotic purpura of the nose, cheeks and extremities (lower and upper), and immunologic reactions (positive anti\u2010MPO and anti\u2010HNE). Levamisole was detected on hairs with ultra\u2010high performance liquid chromatography and tandem mass spectrometry. The case reports also a probable cocaine supplier deceit, which bring pure drug for hospital investigation after the intoxication of his client. The intoxicated woman had survived with several skin and chronic pain complications. That case recalls the knowledge about levamisole with a short review of the forensic literature.<\/jats:p>","DOI":"10.1111\/1556-4029.13176","type":"journal-article","created":{"date-parts":[[2016,8,8]],"date-time":"2016-08-08T20:25:18Z","timestamp":1470687918000},"page":"1681-1685","source":"Crossref","is-referenced-by-count":5,"title":["Extensive Necrotic Purpura in Levamisole\u2010Adulterated Cocaine Abuse \u2013 A Case Report"],"prefix":"10.1111","volume":"61","author":[{"given":"Erwan","family":"Le Garff","sequence":"first","affiliation":[{"name":"Service de M\u00e9decine L\u00e9gale CHU Lille University Lille UTML 7367 F\u201059000 Lille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gilles","family":"Tournel","sequence":"additional","affiliation":[{"name":"Service de M\u00e9decine L\u00e9gale CHU Lille University Lille UTML 7367 F\u201059000 Lille France"},{"name":"Service de toxicologie CHU Lille University Lille F\u201059000 Lille 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