“Bath salts” in Michigan
May 18, 2011, 10:50 pm
Emergency Department Visits After Use of a Drug Sold as “Bath Salts” — Michigan, November 13, 2010 – March 31, 2011. MMWR 2011 May 18;60:1-4.
This paper reports on the Centers for Disease Control and Prevention investigation into 35 cases of patients who presented to the emergency department in Marquette County, Michigan over a four-and-a-half month period with cardiovascular, neurologic, or psychiatric signs or symptoms after using products sold as “bath salts”. The State Police laboratory tested one of the products and detected the presence of MDPV.
In the 35 patients, the most common manifestations were agitation (23), tachycardia (22), and delusions/hallucinations (14). Other presenting signs and symptoms included hypertension, tremors, mydriasis, and paranoia. One patient was dead on arrival. Of patients in whom the route of use was known, 63% had injected the “bath salt”, 26% snorted it, and 11% ingested it. Of patients tests, 16 of 17 (94%) were positive for other drugs, including marijuana, opiates, benzodiazepines, cocaine, and/or amphetamines. Treatment generally was supportive with benzodiazepines for symptomatic control.
To read my Emergency Medicine News column on bath salts, click here.