Rhabdomyolysis in MDMA Intoxication: A Rapid and Underestimated Killer. 鈥淐lean鈥?Ecstasy, a Safe Party Drug?

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• 作者：Herve Vanden Eede ; MD^鈦?/sup> ; ; Leon J. Montenij ; MD^鈦?/sup> ; Daan J. Touw^&dagger ; ; Elizabeth M. Norris ; MB ; ChB^&Dagger ;
• 关键词：methylenedioxymethamphetamine ; MDMA ; Ecstasy ; intoxication ; rhabdomyolysis ; hyperkalemia ; asystole
• 刊名：Journal of Emergency Medicine
• 出版年：2012
• 期刊代码：156_07364679
• 类别：med
• 出版时间：June, 2012
• 卷：42
• 期：6
• 页码：655-658
• 文件大小：310 K

摘要

Background: Ecstasy is a popular drug among young adults. It is often thought to be safe. The dose of methylenedioxymethamphetamine (MDMA) in a tablet of Ecstasy varies greatly, and there is also a difference in individual response to a dose of MDMA. Objectives: To increase the awareness of potential mortality in MDMA use. Case Report: We report the case of a patient with a lethal intoxication after pure MDMA intoxication. The serum toxicology screening showed an elevated level of MDMA (1.5 mg/L) but no other amphetamines or other drugs. Conclusions: The cause of death was a rapidly evolving hyperkalemia due to rhabdomyolysis. There is still a need to educate the public about the dangers of this so-called 鈥渟afe鈥?party drug.