{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T15:45:40Z","timestamp":1788191140304,"version":"build-2803163510"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,1,11]],"date-time":"2017-01-11T00:00:00Z","timestamp":1484092800000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:p>Methylenedioxypyrovalerone (MDPV) is a synthetic, cathinone\u2010derivative, central nervous system stimulant taken to produce a cocaine\u2010 or methamphetamine\u2010like high. Physical manifestations include tachycardia, hypertension, arrhythmias, hyperthermia, sweating, rhabdomyolysis, hyperkalaemia, disseminated intravascular coagulation, oliguria and seizures. We report a patient who presented with severe metabolic acidosis, multi\u2010organ dysfunction, rhabdomyolysis, hyperkalaemia and seizures. This case highlights that even though a urine drug screen for routine psychostimulant drugs is negative, clinicians need to be vigilant about the adverse effects of <jats:styled-content style=\"fixed-case\">MDPV<\/jats:styled-content> as a possible cause of multi\u2010organ dysfunction. Substances such as this can only be detected by special tests, such as gas\/liquid chromatography mass spectrometry. This is the first reported case of <jats:styled-content style=\"fixed-case\">MDPV<\/jats:styled-content> toxicity successfully treated in Australia to the best of our knowledge.<\/jats:p>","DOI":"10.1111\/imj.13307","type":"journal-article","created":{"date-parts":[[2017,1,13]],"date-time":"2017-01-13T10:52:47Z","timestamp":1484304767000},"page":"109-111","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Multi\u2010organ dysfunction due to bath salts: are we aware of this entity?"],"prefix":"10.1111","volume":"47","author":[{"given":"Rohith","family":"Valsalan","sequence":"first","affiliation":[{"name":"Department of Medicine Angliss Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benoj","family":"Varghese","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine Royal Hobart Hospital  Hobart Tasmania Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diya","family":"Soman","sequence":"additional","affiliation":[{"name":"School of Medicine Deakin University  Geelong Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Buckmaster","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine Royal Hobart Hospital  Hobart Tasmania Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Yew","sequence":"additional","affiliation":[{"name":"Department of Nephrology Royal Hobart Hospital  Hobart Tasmania Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Cooper","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine Royal Hobart Hospital  Hobart Tasmania Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,1,11]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13181-011-0193-z"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/dta.204"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.forsciint.2011.03.015"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13181-011-0202-2"},{"key":"e_1_2_2_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jms.1859"},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.1248\/yakushi.128.1499"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2011.10.012"},{"key":"e_1_2_2_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200311000-00020"},{"key":"e_1_2_2_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0704(05)70369-9"},{"key":"e_1_2_2_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/106002808602000601"},{"key":"e_1_2_2_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0735-6757(89)90139-3"}],"container-title":["Internal Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fimj.13307","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.13307","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T09:46:20Z","timestamp":1695548780000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/imj.13307"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,1]]}},"alternative-id":["10.1111\/imj.13307"],"URL":"https:\/\/doi.org\/10.1111\/imj.13307","archive":["Portico"],"relation":{},"ISSN":["1444-0903","1445-5994"],"issn-type":[{"value":"1444-0903","type":"print"},{"value":"1445-5994","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1]]},"assertion":[{"value":"2016-04-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-06-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-01-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}