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Phencyclidine-associated acute rhabdomyolysis.
Phencyclidine (PCP) abuse can cause central nervous system depression and severe muscle contractions leading to rhabdomyolysis. Early screening for skeletal muscle injury is crucial in PCP intoxication cases.
Area of Science:
- Toxicology
- Neurology
- Nephrology
Background:
- Phencyclidine (PCP) is a veterinary anesthetic increasingly abused as a recreational drug.
- PCP's psychoactive effects include psychedelic and hallucinogenic properties.
Observation:
- Two young patients presented with phencyclidine toxicity.
- Central nervous system depression was noted, alongside acute dystonic motor reactions.
Findings:
- The motor reactions resulted in acute rhabdomyolysis and myoglobinuria.
- Skeletal muscle injury was attributed to involuntary motor activity, not direct PCP toxicity.
Implications:
- Screening for rhabdomyolysis is recommended for patients with phencyclidine intoxication.
- PCP intoxication should be considered in the differential diagnosis of nontraumatic rhabdomyolysis and acute renal failure.
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