Are "Bath Salts" on Your Differential List? A Case Report of Delirium and Agitation After Use of Illicit Bath Salts

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To the Editor: Illicit “bath salts” are synthetic cathinones that have been marketed as bath salts, research chemicals, plant foods, etc. They are available via the Internet in the forms of tablets, capsules, and powder and are generally labeled as “not for human consumption.” Other names for these substances include “Ivory Wave,” “Vanilla Sky,” “Meow Meow,” and “Bubbles.”1 Bath salts are known to be used as drugs of abuse, but very little information is available to help psychiatrists manage these cases when patients present to the emergency room in a state of delirium. Most of the bath salts consist of mephedrone, methylone, methylenedioxypyrovalerone, or other cathinone derivatives with psychoactive properties similar to those of amphetamine and cocaine.2 They are often sold as cocaine substitutes. The alarming increase in emergency room visits linked to bath salts has led to the introduction of legislation in several states to ban these products. We present the case of an obe

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