PMID- 22329114 OWN - NLM STAT- MEDLINE DCOM- 20120405 LR - 20221207 IS - 0026-6396 (Print) IS - 0026-6396 (Linking) VI - 52 IP - 12 DP - 2011 Dec TI - Illicit bath salts: not for bathing. PG - 375-7 AB - BACKGROUND: There has been an increase in the popularity of designer drugs known as "Bath Salts" in the United States. These products commonly contain mephedrone, mephylone, methylenedioxypyrovalerone (MDPV), or other cathinone derivatives with psychoactive properties similar to amphetamine and cocaine. Although recently outlawed, abuse of these products continues to occur in Mississippi. METHODS: We report a 19-year-old male who presented with paranoia and auditory as well as visual hallucinations. Auditory effects included voices that prompted him to kill people. The patient displayed anxiety, paranoia, and exhibited repeated bouts of inappropriate laughter. Urine toxicology analysis via GC/ MS detected MDPV, a compound structurally similar to methylenedioxymethamphetamine (MDMA). CONCLUSIONS: Clinicians should be aware that these designer drugs are not detected with common immunoassay drug screens. Symptoms most commonly associated with these substances include tachycardia, delusions, hallucinations, and paranoia. Psychosis, self harm, and death have been associated with some cases. FAU - Kyle, Patrick B AU - Kyle PB AD - Department of Pathology, University of Mississippi Medical Center, Jackson, MS 39216, USA. pkyle@umc.edu FAU - Iverson, Richard B AU - Iverson RB FAU - Gajagowni, Raghavendran G AU - Gajagowni RG FAU - Spencer, Lee AU - Spencer L LA - eng PT - Case Reports PT - Journal Article PL - United States TA - J Miss State Med Assoc JT - Journal of the Mississippi State Medical Association JID - 7505622 RN - 0 (Benzodioxoles) RN - 0 (Designer Drugs) RN - 0 (Illicit Drugs) RN - 0 (Psychotropic Drugs) RN - 0 (Pyrrolidines) RN - 0 (Synthetic Cathinone) SB - IM MH - Anxiety/*chemically induced MH - Benzodioxoles/chemistry/*toxicity MH - Designer Drugs/chemistry/*toxicity MH - Diagnosis, Differential MH - Gas Chromatography-Mass Spectrometry MH - Hallucinations/*chemically induced MH - Humans MH - Illicit Drugs/chemistry/*toxicity MH - Male MH - Paranoid Disorders/*chemically induced MH - Psychotropic Drugs/chemistry/*toxicity MH - Pyrrolidines/chemistry/*toxicity MH - Substance-Related Disorders/*diagnosis MH - Young Adult MH - Synthetic Cathinone EDAT- 2012/02/15 06:00 MHDA- 2012/04/06 06:00 CRDT- 2012/02/15 06:00 PHST- 2012/02/15 06:00 [entrez] PHST- 2012/02/15 06:00 [pubmed] PHST- 2012/04/06 06:00 [medline] PST - ppublish SO - J Miss State Med Assoc. 2011 Dec;52(12):375-7.