TY  - JOUR
PY  - 2013//
TI  - Methylenedioxypyrovalerone ("bath salts") related death: case report and review of the literature
JO  - Journal of forensic sciences
A1  - Kesha, Kilak
A1  - Boggs, Cassie L.
A1  - Ripple, Mary G.
A1  - Allan, Carol H.
A1  - Levine, Barry
A1  - Jufer-Phipps, Rebecca
A1  - Doyon, Suzanne
A1  - Chi, Paolin
A1  - Fowler, David R.
SP  - 1654
EP  - 1659
VL  - 58
IS  - 6
N2  - 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>
LA  - en
SN  - 0022-1198
UR  - http://dx.doi.org/10.1111/1556-4029.12202
ID  - ref1
ER  -