title: Death following recreational use of designer drug "bath salts" containing 3,4-Methylenedioxypyrovalerone (MDPV).
abstract: BACKGROUND
  3,4-Methylenedioxypyrovalerone (MDPV) is a designer stimulant drug that has gained popularity in the USA. Although adverse effects of MDPV have been described, to our knowledge, this is the first reported death.
  
  
  METHODS
  We report the case of a 40-year-old male who injected and snorted "bath salts" containing MDPV and subsequently became agitated, aggressive, and experienced a cardiac arrest. He was resuscitated after his initial arrest; however, he developed hyperthermia, rhabdomyolysis, coagulopathy, acidosis, anoxic brain injury, and subsequently died.
  
  
  CONCLUSIONS
  This is the first case in the medical literature to report death due to isolated confirmed MDPV intoxication. The manner of death is also consistent with excited delirium syndrome.
authors.affiliation: Department of Emergency Medicine, Carolinas Medical Center, Charlotte, NC 28232, USA.
authors.forename: Brittany L
authors.initials: BL
authors.lastname: Murray
authors.forename: Christine M
authors.initials: CM
authors.lastname: Murphy
authors.forename: Michael C
authors.initials: MC
authors.lastname: Beuhler
mesh_terms: D000328:Adult; D052117:Benzodioxoles / Q000506:poisoning*; D015198:Designer Drugs / Q000506:poisoning*; D004562:Electrocardiography / Q000187:drug effects; D017809:Fatal Outcome; D006801:Humans; D013287:Illicit Drugs / Q000506:poisoning*; D008297:Male; D011759:Pyrrolidines / Q000506:poisoning*; D000094982:Synthetic Cathinone
chemical_list: D052117:Benzodioxoles; D015198:Designer Drugs; D013287:Illicit Drugs; D011759:Pyrrolidines; D000094982:Synthetic Cathinone