. >> reporter: the internist and addiction specialist at san francisco's tom waddell health center, overear and a half: >> i have seen three or four patients where i said, this is definitely a case. >> reporter: cases of an ear, a nose pit, arm, even the chest, turning purple, then black, where the skin and flesh has suddenly died. >> a whole lot more people who have partial signs of it, skin ulcers, low white blood cell count. we don't necessarily know what's causing it. >> reporter: dr. norah kraft with biomedical made the link even called what's happening a potential public health epidemic. >> unfortunately, it goes hand in hand with the destruction of bone marrow. if you don't know your bone marrow is being destroyed, then you can have serious infections and die. >> reporter: because the cocaine is being cut with another drug called lavamasol. >> used to deworm livestock. >> reporter: it's banned for human use but widely available to veterinarians here and in south america, where much of the west coast cocaine is coming from. the drug looks just like cocaine and no matter snorted or