Fulminant toxic vasculitis caused by cocaine/tusi-levamisole: a challenge in intensive care. A case report
LAJEC - Latin American Journal of Emergency Care July 22, 2026 Fernando Victor Manuel Santacruz-Castiblanco, Álvaro Francisco Rosas-Insuasty, Juan Santiago Serna Trejos et al.
We describe the case of a 31-year-old woman with a history of remote ischemic stroke who presented with 24 hours of severe lower extremity pain that rapidly progressed to distal cyanosis, coldness, and absent distal pulses. Computed tomography angiography showed diffuse narrowing of the arteries and thready contrast passage in the bilateral iliac, femoral, popliteal, and tibial arteries,...