Massive phencyclidine intoxication.
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Biomedical subjects
Publications and source records attributed to O Aniline.
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By utilizing a glass capillary gas chromatographic nitrogen detector (GC2-N) method specific for phencyclidine (PCP) and sensitive to pg/mL in blood or urine samples, we have demonstrated occupational intoxication of law enforcement personnel charged with handling confiscated illegal PCP preparations. Further, we have demonstrated persistence of PCP in blood and urine for at least 6 months after the last known occupational exposure in one officer. Some aspects of the PCP problem are outlined, and possible mechanisms of the occupational intoxication are discussed.
Routine blood samples of 145 consecutive patients seen in the Los Angeles County Psychiatric Hospital Emergency Room during a 48-hour weekday period in June 1979 were examined for phencyclidine (PCP) using a sensitive and specific gas capillary gas chromatographic nitrogen detector (GC2-N) method. Of these 145 samples 63 (43.4%) were positive and PCP levels ranged 0.34 to 142.9 nanograms/ml (mean 14.6 ng/ml +/- 3.4 S.E.M.). An analysis of the records of these 63 patients revealed a wide variety of psychotic clinical pictures resembling mania, depression or schizophrenia with relatively few of the supposedly characteristic manifestations of PCP intoxication. Each of the 63 patients had at least one manifestation of toxic psychosis and/or acute delirium, in addition to the florid symptoms characteristic of functional states. PCP measurement, pharmacokinetics and the possible relationships of this intoxication to the psychiatric manifestations are discussed.
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Utilizing a sensitive and specific gas chromatography nitrogen detector (GC2-N) method we have demonstrated phencyclidine (PCP) in the blood of a 65-year-old widowed Mexican-American woman who lived in a second floor apartment directly over an illegal laboratory utilizing open-vat methods of PCP synthesis. This is the first proof of such incidental PCP intoxication, although police officers regularly complain of developing symptoms of intoxication after raiding such clandestine laboratories and handling the confiscated products. The presumed mechanism of incidental intoxication with PCP and the psychiatric manifestations of this patient are described and discussed.
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