Barry C. Herzlich, MD; Edward L. Arsura, MD; Murali Pagala, PhD; David Grob, MD
The rapid escalation in cocaine consumption in recent years has led to the recognition of new toxicities (1). Muscle necrosis caused by cocaine alone or with other factors has rarely been appreciated. We describe the cases of three patients with rhabdomyolysis resulting in acute renal failure in which cocaine was felt to play a major role, and discuss the manifestations and possible pathogenesis of this disorder.
A 27-year-old man was hospitalized with bilateral flank pain. The patient had smoked cocaine alkaloid (crack) every 3 to 4 hours for 4 consecutive days. On day 5, he became delirious and
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Herzlich BC, Arsura EL, Pagala M, Grob D. Rhabdomyolysis Related to Cocaine Abuse. Ann Intern Med. 1988;109:335-336. doi: 10.7326/0003-4819-109-4-335
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Published: Ann Intern Med. 1988;109(4):335-336.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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