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Renal Changes in Cocaine Abuse and Addiction
Journal article   Open access

Renal Changes in Cocaine Abuse and Addiction

M. Nikolova, Vl Milenova, D. Yosifov, Y. Vlahov and V. Tenev
Acta medica Bulgarica, Vol.46(2), pp.57-61
05/01/2019
DOI: 10.2478/amb-2019-0020
url
https://doi.org/10.2478/amb-2019-0020View
Published (Version of record) Open Access

Abstract

Cocaine is a natural alkaloid extracted from the leaves of the South American plant Erythroxylum coca or synthesized chemically. After cannabis, it is the second most frequently abused recreational substance worldwide. Cocaine can affect every tissue and organ within the human body, including the kidneys, causing tissue ischemia due to vasoconstriction, endothelial dysfunction and damage, procoagulant activity and oxidative stress with subsequent ischemic infarctions and fibrosis. The renal changes in cocaine abuse and addiction are due to rhabdomyolysis, ischemic, hypertensive, and inflammatory changes with the development of cell proliferation and fibrosis. The authors present three patients with cocaine-associated renal damage and discuss the underlying mechanisms of cocaine-induces tissue changes.
cholesterol coagulation cocaine hypertension ischemia renal damage rhabdomyolysis systemic effects

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