Abstract
Background: Drug use and abuse in young people is an ever-increasing problem in the USA. The choices available for "getting high" are also increasing. Not only are teens using alcohol, marijuana, and other well-known drugs of abuse, they are also turning to other less well-known street drugs, such as ketamine, an anaesthetic used in hospitals. Furthermore, information on doses and how to prepare these drugs is easily found on the Internet. Case Report: We report a 16-year-old male who ingested an unknown amount of Telazol®(tiletamine and zolazepam), a veterinary anesthetic similar to ketamine and phencyclidine, and presented to our emergency department with confusion and psychosis. Conclusion: When patients present to the ER with altered mental status and drug intoxication is suspected, consider unconventional drugs, such as veterinary anaesthetics.