• J Emerg Med · Jun 2012

    Case Reports

    Rhabdomyolysis in MDMA intoxication: a rapid and underestimated killer. "Clean" Ecstasy, a safe party drug?

    • Herve Vanden Eede, Leon J Montenij, Daan J Touw, and Elizabeth M Norris.
    • Department of Intensive Care, Haga Hospital, The Hague, The Netherlands.
    • J Emerg Med. 2012 Jun 1;42(6):655-8.

    BackgroundEcstasy 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.ObjectivesTo increase the awareness of potential mortality in MDMA use.Case ReportWe 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.ConclusionsThe 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 "safe" party drug.Copyright © 2012 Elsevier Inc. All rights reserved.

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