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Case Report

A Rare Case Report of Toxic Myocarditis and Acute Kidney Injury in a Case of Phencyclidine and Unknown Poisoning

Arunil Gupta, Attending Consultant, Department of Emergency Medicine, Max Superspeciality Hospital, Dehradun, Uttarakhand 248001, India. , Neha Luthra , Arunil Gupta , Akshat Kumar , Pankaj Jhaldiyal

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Indian Journal of Emergency Medicine 4(3):p 237-240, Jul-Sep, 2018. | DOI: http://dx.doi.org/10.21088/ijem.2395.311X.4318.24

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Abstract

Phencyclidine (PCP, “angel dust”) is a hallucinogenic well known for its ability to induce disorganized thought processes, including euphoria, omnipotence, superhuman strength, and amnesia and dysphoria. It is an illicit street drug which is used widely among youth in the United States. However in India, it is used by dacoits and thieves to sedate people and rob them in public transport. We report a case of a 25 yr old male who was brought to the ER from the local government hospital with altered sensorium. He had an alleged H/o of being found unconscious outside the local bus stop, possibly poisoned by dacoits. Early prompt resuscitation in the ER followed by early initiation of Sustained Low Efficiency Dialysis in view of Acute Kidney Injury and Early IABP Insertion in view of Toxic Myocarditis led to the pt being successfully treated.
 

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DOI: http://dx.doi.org/10.21088/ijem.2395.311X.4318.24

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Phencyclidine; Sustained Low Efficiency Dialysis; Acute Kidney Injury and IABP.

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