In:
Journal of Forensic Sciences, Wiley, Vol. 58, No. 6 ( 2013-11), p. 1654-1659
Abstract:
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.
Type of Medium:
Online Resource
ISSN:
0022-1198
,
1556-4029
DOI:
10.1111/jfo.2013.58.issue-6
DOI:
10.1111/1556-4029.12202
Language:
English
Publisher:
Wiley
Publication Date:
2013
detail.hit.zdb_id:
2026357-0
SSG:
2,1
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