Acute confusional state after designer tryptamine abuse.

Abstract:

:A 23-year-old Japanese woman was brought to the emergency department about 6.5 h after taking liquid and later a half tablet purchased on the street. About 4.5 h prior to presentation, she displayed excited and disorganized behavior. On examination, she was not alert or oriented, with a Glasgow Coma Scale score of 13, did not answer any questions from doctors while smirking and looking around restlessly, and sometimes exhibited echolalia, imitating the speech of doctors. She was given intravenous infusion of fluid for 8 h, then discharged. Gas chromatography-mass spectrometry of urine revealed 5-methoxy-diisopropyltryptamine, 5-methoxy-N-methyltryptamine and an unidentified tryptamine. Identifying chemical products based solely on information of users is insufficient, and urinalysis is necessary in cases potentially involving designer drugs.

authors

Itokawa M,Iwata K,Takahashi M,Sugihara G,Sasaki T,Abe Y,Uno M,Hobo M,Jitoku D,Inoue K,Arai M,Yasuda I,Shintani M

doi

10.1111/j.1440-1819.2007.01638.x

subject

Has Abstract

pub_date

2007-04-01 00:00:00

pages

196-9

issue

2

eissn

1323-1316

issn

1440-1819

pii

PCN1638

journal_volume

61

pub_type

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