Cocaine is an addictive stimulant drug. In 2014, about 913,000 Americans met the Diagnostic and Statistical Manual of Mental Disorders criteria for dependence or abuse of cocaine. Approximately 69% of Cocaine has been contaminated with Levamisole. Levamisole has been found to be immunogenic causing anti-neutrophil cyto-plasmic antibody (ANCA)-associated cutaneous vasculitis in 88-100% patients. 24-year-old male with a history of polysubstance abuse including IV drug abuse presented with complain...

Kidney transplant recipients (KTR) and liver transplant recipients (LTR) are at risk for elevation in serum potassium post-transplant. Patiromer is approved by the Food and Drug Administration for the treatment of hyperkalemia, but there is limited safety and efficacy data for its use in solid organ transplantation. We retrospectively reviewed adult KTR and/or LTR transplanted between October 2015 and September 2019 treated with patiromer. 17 KTR, 13 LTR, and 2 simultaneous liverkidney recipient...