title: "Bath Salts" intoxication with multiorgan failure and left-sided ischemic colitis: a case report.
abstract: BACKGROUND
  In the recent years, a new group of designer drugs, under the brand name of bath salts has emerged as a new trend. They are mainly b-ketone amphetamine analogs and are derivatives of cathinone, a monoamine alkaloid. They are abused for psychostimulant effects. Their primary ingredient 3,4-methylenedioxypyrovalerone (MDPV), has alerted authorities worldwide due to its severe physiological and behavioral toxicities. Description of Case:We present the case of a 47-year-old man with coma, seizures, multi-organ failure and ischemic colitis after intoxication with bath salts containing MDPV. After supportive care, he had a successful outcome. To our knowledge, this report is the first to describe ischemic colitis after MDPV intoxication. Clinicians need to be especially alert since MDPV is not detected by routine screens, and its overdose can be life-threatening.
  
  
  CONCLUSIONS
  Ischemic colitis should be recognized as a potential complication of bath salts ingestion in order to prevent unnecessary interventions, such as diagnostic laparotomy, which could worsen patient's condition. Hippokratia 2015; 19 (4): 363-365.
authors.affiliation: Intensive Care Unit, 1 Department of Respiratory Medicine, Medical School, University of Athens, "Sotiria" Hospital, Athens, Greece.
authors.forename: G
authors.initials: G
authors.lastname: Gavriilidis
authors.affiliation: Intensive Care Unit, 1 Department of Respiratory Medicine, Medical School, University of Athens, "Sotiria" Hospital, Athens, Greece.
authors.forename: A
authors.initials: A
authors.lastname: Kyriakoudi
authors.affiliation: Laboratory of Histology-Embryology, Medical School, University of Athens, Athens, Greece.
authors.forename: D
authors.initials: D
authors.lastname: Tiniakos
authors.affiliation: Intensive Care Unit, 1 Department of Respiratory Medicine, Medical School, University of Athens, "Sotiria" Hospital, Athens, Greece.
authors.forename: N
authors.initials: N
authors.lastname: Rovina
authors.affiliation: Intensive Care Unit, 1 Department of Respiratory Medicine, Medical School, University of Athens, "Sotiria" Hospital, Athens, Greece.
authors.forename: A
authors.initials: A
authors.lastname: Koutsoukou
keywords: 3,4-methylenedioxypyrovalerone; Ischemic colitis; MDPV; bath salts; multi-organ failure