@article{ref1,
title="Methylenedioxypyrovalerone ("bath salts") related death: case report and review of the literature",
journal="Journal of forensic sciences",
year="2013",
author="Kesha, Kilak and Boggs, Cassie L. and Ripple, Mary G. and Allan, Carol H. and Levine, Barry and Jufer-Phipps, Rebecca and Doyon, Suzanne and Chi, Paolin and Fowler, David R.",
volume="58",
number="6",
pages="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.<p /> <p>Language: en</p>",
language="en",
issn="0022-1198",
doi="10.1111/1556-4029.12202",
url="http://dx.doi.org/10.1111/1556-4029.12202"
}