PMID- 16607453
OWN - NLM
STAT- MEDLINE
DCOM- 20060623
LR  - 20161013
IS  - 0929-6646 (Print)
IS  - 0929-6646 (Linking)
VI  - 104
IP  - 12
DP  - 2005 Dec
TI  - Accidental ingestion of Ecstasy in a toddler.
PG  - 946-7
AB  - Toddlers who ingest the drug of abuse 3,4-methylenedioxymethamphetamine (MDMA; 
      'Ecstasy') are at particularly high risk of serious neurological and 
      cardiovascular side effects. We report of a 20-month-old male toddler who 
      accidentally ingested Ecstasy. He presented with fever and seizures, tachycardia, 
      hypertension, and hyperthermia. Urine amphetamine level was 2111 ng/mL. Treatment 
      included rapid cooling, hydration, and support measures. Vital signs were 
      regularly monitored. His condition became stable on day 2 and urine amphetamine 
      level returned to normal on day 3 of hospitalization. His behavior, activity, and 
      appetite had returned to their usual levels upon follow-up at our outpatient 
      clinic. The incidence of drug abuse with MDMA has increased dramatically over the 
      last decade in developed countries. It can be expected that accidental Ecstasy 
      poisoning in children will increase as well. This case illustrates the need to 
      consider the possibility of accidental Ecstasy ingestion in the differential 
      diagnosis of a child suffering from convulsions with fever.
FAU - Chang, Yi-Jung
AU  - Chang YJ
AD  - Division of Pediatric Gastroenterology, Department of Pediatrics, Chang Gung 
      Children's Hospital, Kwei-Shan, Taoyuan, Taiwan.
FAU - Lai, Ming-Wei
AU  - Lai MW
FAU - Kong, Man-Shan
AU  - Kong MS
FAU - Chao, Hsun-Chin
AU  - Chao HC
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - Singapore
TA  - J Formos Med Assoc
JT  - Journal of the Formosan Medical Association = Taiwan yi zhi
JID - 9214933
RN  - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine)
SB  - IM
CIN - J Formos Med Assoc. 2006 Oct;105(10):866; author reply 867. PMID: 17000463
MH  - Diagnosis, Differential
MH  - Fever/chemically induced
MH  - Humans
MH  - Hypertension/chemically induced
MH  - Infant
MH  - Male
MH  - N-Methyl-3,4-methylenedioxyamphetamine/*poisoning
MH  - Seizures/chemically induced
MH  - Tachycardia/chemically induced
EDAT- 2006/04/12 09:00
MHDA- 2006/06/24 09:00
CRDT- 2006/04/12 09:00
PHST- 2006/04/12 09:00 [pubmed]
PHST- 2006/06/24 09:00 [medline]
PHST- 2006/04/12 09:00 [entrez]
PST - ppublish
SO  - J Formos Med Assoc. 2005 Dec;104(12):946-7.