Titre : | Methylenedioxypyrovalerone ("Bath salts") related death: case report and review of the literature (2013) |
Auteurs : | K. KESHA ; C. L. BOGGS ; M. G. RIPPLE ; C. H. ALLAN ; B. LEVINE ; R. JUFER-PHIPPS ; S. DOYON ; P. CHI ; D. R. FOWLER |
Type de document : | Article : Périodique |
Dans : | Journal of Forensic Sciences (Vol.58, n°6, November 2013) |
Article en page(s) : | 1654-1659 |
Langues: | Anglais |
Discipline : | PRO (Produits, mode d'action, méthode de dépistage / Substances, action mode, screening methods) |
Mots-clés : |
Thésaurus géographique ETATS-UNISThésaurus mots-clés ETUDE DE CAS ; CATHINONES ; DROGUES DE SYNTHESE ; MORTALITE ; TOXICOLOGIE ; INTOXICATION ; HYPERTHERMIE ; ANALYSE CHIMIQUE |
Résumé : | Cathinone derivatives (bath salts) have emerged as the latest drugs of abuse. 3,4-methylenedioxypyrovalerone (MDPV) is the primary active ingredient in bath salts used in this country. This article presents the second reported cause of death by MDPV intoxication alone. In April 2011, a delusional man was emergently brought to a hospital, where he self-reported bath salt usage. He became agitated, developed ventricular tachycardia, hyperthermia, and died. Comprehensive alcohol and drug testing was performed. Using the alkaline drug screen, heart blood contained 0.7 mg/L MDPV and peripheral blood contained 1.0 mg/L MDPV. His bizarre behavior with life-threatening hyperthermia was consistent with an MDPV-induced excited delirium state. MDPV is not yet found by routine immunoassay toxicology screens. Testing for MDPV should be considered in cases with a history of polysubstance abuse with stimulant type drugs, report of acute onset of psychogenic symptoms, excited delirium syndrome, or presentation in a hyperthermic state. |
Domaine : | Drogues illicites / Illicit drugs |
Sous-type de document : | Etude de cas / Case report ; Revue de la littérature / Literature review |
Refs biblio. : | 45 |
Affiliation : | Maryland Office of the Chief Medical Examiner, Baltimore, MD, USA |
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