Transrectal Methamphetamine Use: A Novel Route of Exposure
Authors: F. Lee Cantrell, Helene M. Breckenridge, Peter Jost
Journal: Annals of Internal Medicine (2006)

Letters4 July 2006Transrectal Methamphetamine Use: A Novel Route of ExposureF. Lee Cantrell, PharmD, Helene M. Breckenridge, RN, and Peter Jost, MDF. Lee Cantrell, PharmDFrom the California Poison Control System, San Diego, CA 92103, and Scripps Memorial Hospital, Chula Vista, CA 91910., Helene M. Breckenridge, RNFrom the California Poison Control System, San Diego, CA 92103, and Scripps Memorial Hospital, Chula Vista, CA 91910., and Peter Jost, MDFrom the California Poison Control System, San Diego, CA 92103, and Scripps Memorial Hospital, Chula Vista, CA 91910.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-145-1-200607040-00018 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: With the widespread abuse of methamphetamine, its toxicity has been well described. The most common reported routes of exposure include intravenous injection, intranasal insufflation, smoking, and ingestion. To our knowledge, transrectal administration of methamphetamine has not been publicized in the medical literature.Objective: To report a unique case of methamphetamine toxicity following a self-administered methamphetamine enema.Case Report: A 29-year-old woman reported that she mixed between one half to 1 gram of methamphetamine with warm water in an oral syringe and instilled the contents into her rectum. Within minutes, she became anxious and experienced restlessness, palpitations, and tingling in ...References1. Corbett J, Meier G. Suicide attempted by rectal administration of drug. JAMA. 1968;206:2320-1. [PMID: 5696096] CrossrefMedlineGoogle Scholar2. Ortega JA, Creek JE. Acute cyanide poisoning following administration of Laetrile enemas. J Pediatr. 1978;93:1059. [PMID: 722426] CrossrefMedlineGoogle Scholar3. Davidson JA, Isaacs RA. A novel case of numb bum. Eur J Emerg Med. 2004;11:285-6. [PMID: 15359203] CrossrefMedlineGoogle Scholar4. Seattle Counseling Service. What's the safest way to use crystal meth? Accessed at www.crystalneon.org/html/meth/safer.html on 24 October 2005. Google Scholar5. Stonewall Project. Booty bump. Accessed at www.tweaker.org/html/stories/bootybump.html on 24 October 2005. Google Scholar Author, Article, and Disclosure InformationAuthors: F. Lee Cantrell, PharmD; Helene M. Breckenridge, RN; Peter Jost, MDAffiliations: From the California Poison Control System, San Diego, CA 92103, and Scripps Memorial Hospital, Chula Vista, CA 91910.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byHarm Reduction in Health Care SettingsFatal intoxication due to transrectal methamphetamine overdose: A case reportComparative study between active and passive exposure of methamphetamine vapor in miceSudden Noncardiac Deaths Caused by PoisoningAbdominal Imaging Manifestations of Recreational Drug UseAdministration rectale de cocaïne ayant entraîné le décès : à propos d'un cas exceptionnel et revue de la littératureHuman Poisoning Through Atypical Routes of ExposurePipe Dreams: Concealed Methamphetamine Causing Severe ToxicityIntoxication volontaire et mortelle par voies percutanée et rectale : à propos d'un cas et revue de la littératureAn unusual case of attempted suicide by rectal administration of parathionMethamphetamine-Associated Psychosis: A Model for Biomarker Discovery in SchizophreniaTuberculosis Transmission and Use of Methamphetamines in Snohomish County, WA, 1991–2006The clinical toxicology of metamfetamineGenetic association studies of methamphetamine use disorders: A systematic review and synthesis 4 July 2006Volume 145, Issue 1Page: 78-79KeywordsMucous membranesPenisRectumRespirationSuicideTemperatureToxicityToxicologyUrineVital signs ePublished: 4 July 2006 Issue Published: 4 July 2006 Copyright & PermissionsCopyright © 2006 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...