title: Flashback phenomenon and residual neurological deficits after the use of "bath salt" 3, 4- methylenedioxypyrovalerone.
abstract: BACKGROUND
  The use and abuse of designer drugs has been recognized for decades; however there are many derivatives of compounds that make their way into the community. Abuse of compound(s) known on the street as "bath salt" is on the rise.
  
  
  METHODS
  We report the case of a 33-year-old man who complained of "flashbacks" and right arm shaking that followed a night of "bath salt" snorting. The active compound methylenedioxypyrovalerone methamphetamine (MDPV) was confirmed; however, analysis of three different "bath salt" products showed difference in their active components.
  
  
  RESULTS
  The patient's symptoms remained stable and he was discharged home after observation in the emergency department with instructions to return for any symptom progression.
  
  
  CONCLUSIONS
  Practitioners should be aware of the abuse of the compounds and that not all "bath salt" products contain MDPV.
authors.affiliation: Department of Dermatology, Mayo Clinic, Phoenix, Arizona, USA.
authors.forename: Aaron R
authors.initials: AR
authors.lastname: Mangold
authors.affiliation: Department of Neurology, Mayo Clinic, Phoenix, Arizona, USA.
authors.forename: Thomas P
authors.initials: TP
authors.lastname: Bravo
authors.affiliation: Department of Emergency Medicine, Mayo Clinic Hospital, Phoenix, Arizona, USA.
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Traub
authors.affiliation: Department of Emergency Medicine, Mayo Clinic Hospital, Phoenix, Arizona, USA.
authors.forename: Steven A
authors.initials: SA
authors.lastname: Maher
authors.affiliation: Department of Emergency Medicine, Mayo Clinic Hospital, Phoenix, Arizona, USA ; Department of Pharmacology, Mayo Clinic, Phoenix, Arizona, USA.
authors.forename: Christopher A
authors.initials: CA
authors.lastname: Lipinski
keywords: Emergency Department; Methylenedioxypyrovalerone methamphetamine; Residual neurological deficits