Excited delirium following use of synthetic cathinones (bath salts)

• Published in: General hospital psychiatry Vol. 34; no. 6; pp. 647 - 650
• Main Authors: Penders, Thomas M., M.D, Gestring, Richard E., M.D, Vilensky, Dmitry A., M.D
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.11.2012; Elsevier
• Subjects: Acute Kidney Injury - chemically induced; Acute Kidney Injury - complications; Addictive behaviors; Adult; Adult and adolescent clinical studies; Alkaloids - poisoning; Benzodioxoles - poisoning; Biological and medical sciences; Cathinones; Central Nervous System Stimulants - poisoning; Dangerous Behavior; Dehydration - chemically induced; Dehydration - complications; Delirium; Delirium - chemically induced; Delirium - complications; Drug abuse; Drug addiction; Drug addictions; Humans; Male; Medical sciences; Multiple Organ Failure - chemically induced; Multiple Organ Failure - complications; Organic mental disorders. Neuropsychology; Paranoid Behavior - chemically induced; Paranoid Behavior - complications; Psychiatry; Psychology. Psychoanalysis. Psychiatry; Psychomotor Agitation - complications; Psychopathology. Psychiatry; Psychosis; Pyrrolidines - poisoning; Rhabdomyolysis - chemically induced; Rhabdomyolysis - complications; Stimulants; Street Drugs - poisoning; Syndrome; Toxicology; Delirium; Psychosis; Drug abuse; Cathinones; Stimulants; Human; Drug addiction; CNS stimulant; Psychotropic; Toxicity; Male; Substance abuse; Sympathomimetic; Cathinone; Recommendation; Organic mental disorder; Case study; Alkaloid; Clinical management; Young adult; Mental confusion; Recreational drug

Abstract Synthetic analogs of the cathinone molecule have seen increasing recreational use as substitutes for cocaine, 3,4-methylenedioxymethamphetamine (ecstasy) and methamphetamine. Repeated use of these drugs is associated with a paranoid hallucinatory delirium. A subset of patients using these s...