Skip to main content
eScholarship
Open Access Publications from the University of California

UC Davis

UC Davis Previously Published Works bannerUC Davis

Confirmed case of levamisole-associated multifocal inflammatory leukoencephalopathy in a cocaine user.

  • Author(s): Vitt, Jeffrey R
  • Brown, Ethan G
  • Chow, Daniel S
  • Josephson, S Andrew
  • et al.

Published Web Location

https://www.sciencedirect.com/science/article/pii/S0165572816304519
No data is associated with this publication.
Abstract

Levamisole is a common adulterant in cocaine and has previously been associated with a variety of serious complications including multifocal inflammatory leukoencephalopathy (MIL). There have been several reports of MIL in patients taking cocaine and, though suspected, the presence of levamisole was not confirmed. We present a case of a 63-year-old woman presenting with stupor and spastic quadraparesis found to have urine positive for cocaine and levamisole. An MRI brain revealed innumerable FLAIR hyperintensities with restricted diffusion and incomplete ring-enhancement. This is the first case to confirm the presence of levamisole in a patient with MIL associated with cocaine use.

Many UC-authored scholarly publications are freely available on this site because of the UC's open access policies. Let us know how this access is important for you.

Item not freely available? Link broken?
Report a problem accessing this item