PMID- 19500935
OWN - NLM
STAT- MEDLINE
DCOM- 20120918
LR  - 20131121
IS  - 0736-4679 (Print)
IS  - 0736-4679 (Linking)
VI  - 42
IP  - 6
DP  - 2012 Jun
TI  - Rhabdomyolysis in MDMA intoxication: a rapid and underestimated killer. "Clean" 
      Ecstasy, a safe party drug?
PG  - 655-8
LID - 10.1016/j.jemermed.2009.04.057 [doi]
AB  - 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 
      "safe" party drug.
CI  - Copyright (c) 2012 Elsevier Inc. All rights reserved.
FAU - Vanden Eede, Herve
AU  - Vanden Eede H
AD  - Department of Intensive Care, Haga Hospital, The Hague, The Netherlands.
FAU - Montenij, Leon J
AU  - Montenij LJ
FAU - Touw, Daan J
AU  - Touw DJ
FAU - Norris, Elizabeth M
AU  - Norris EM
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20090604
PL  - United States
TA  - J Emerg Med
JT  - The Journal of emergency medicine
JID - 8412174
RN  - 0 (Hallucinogens)
RN  - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine)
SB  - IM
MH  - Fatal Outcome
MH  - Hallucinogens/*poisoning
MH  - Humans
MH  - Hyperkalemia/etiology
MH  - Male
MH  - N-Methyl-3,4-methylenedioxyamphetamine/*poisoning
MH  - Rhabdomyolysis/chemically induced
MH  - Young Adult
EDAT- 2009/06/09 09:00
MHDA- 2012/09/19 06:00
CRDT- 2009/06/09 09:00
PHST- 2008/08/22 00:00 [received]
PHST- 2008/12/19 00:00 [revised]
PHST- 2009/04/11 00:00 [accepted]
PHST- 2009/06/09 09:00 [entrez]
PHST- 2009/06/09 09:00 [pubmed]
PHST- 2012/09/19 06:00 [medline]
AID - S0736-4679(09)00326-6 [pii]
AID - 10.1016/j.jemermed.2009.04.057 [doi]
PST - ppublish
SO  - J Emerg Med. 2012 Jun;42(6):655-8. doi: 10.1016/j.jemermed.2009.04.057. Epub 2009 
      Jun 4.