THE NEW street drug phencyclidine hydrochloride ("angel dust") can produce a psychosis stimulating violence or self-injury with anesthesia and analgesia.
Report of a Case
A 29-year-old man who admitted occasional marijuana use became floridly psychotic after his initial experimentation with phencyclidine, having smoked a marijuana cigarette laced with the drug. Terrifying auditory hallucinations that told how his hands had offended him commanded punishment by biting. In the dissociative state accompanying phencyclidine use, he bit his forearms almost to the bone and felt no discomfort. A nauseating, odoriferous wound infection manifested, which the patient ignored. Excruciating pain developed only later. Skin grafting was performed. One month later the patient, although less psychotic, was extremely depressed and remorseful.
Phencyclidine is related to dissociative anesthetics and is known as a "horse tranquilizer," referring to its use in veterinary medicine. Physical effects including laryngeal spasm, convulsions, and coma may accompany cardiovascular stimulation, hypertensive