PMID- 28733094 OWN - NLM STAT- MEDLINE DCOM- 20170907 LR - 20201209 IS - 1532-8171 (Electronic) IS - 0735-6757 (Linking) VI - 35 IP - 9 DP - 2017 Sep TI - Isolated non-cardiogenic pulmonary edema - A rare complication of MDMA toxicity. PG - 1385.e3-1385.e6 LID - S0735-6757(17)30491-6 [pii] LID - 10.1016/j.ajem.2017.06.040 [doi] AB - This is a case of a 19-year-old male who presented to the medical tent at an outdoor electronic dance music festival (EDMF) due to an altered mental state in the setting of acute 3,4-methylenedioxymethamphetamine (MDMA) intoxication. He was noted to be in severe respiratory distress, required endotracheal intubation in the field and subsequently developed Acute Respiratory Distress Syndrome (ARDS) without other acute organ dysfunction. He was hospitalized for 5days requiring endotracheal intubation and mechanical ventilation. By presenting this case, we will explore and discuss the cardiopulmonary effects of MDMA intoxication that can lead to a rare, deleterious complication of MDMA intoxication other than previously reported adverse outcomes. CI - Copyright (c) 2017 Elsevier Inc. All rights reserved. FAU - Haaland, Astrid AU - Haaland A AD - Department of Emergency Medicine, Maimonides Medical Center, 4802 Tenth Avenue, Brooklyn, New York 11219, USA. Electronic address: ahaaland@maimonidesmed.org. FAU - Warman, Elliot AU - Warman E AD - SUNY Downstate College of Medicine, 450 Clarkson Avenue, Brooklyn, NY 11203, USA. FAU - Pushkar, Illya AU - Pushkar I AD - Department of Emergency Medicine, Maimonides Medical Center, 965 48th Street, Brooklyn, NY 11219, USA. Electronic address: ipushkar@maimonidesmed.org. FAU - Likourezos, Antonios AU - Likourezos A AD - Department of Emergency Medicine, Maimonides Medical Center, 965 48th Street, Brooklyn, NY 11219, USA. Electronic address: alikourezos@maimonidesmed.org. FAU - Friedman, Matt S AU - Friedman MS AD - Department of Emergency Medicine, Maimonides Medical Center, 4802 Tenth Avenue, Brooklyn, New York 11219, USA. Electronic address: MattFriedman@maimonidesmed.org. LA - eng PT - Case Reports PT - Journal Article DEP - 20170627 PL - United States TA - Am J Emerg Med JT - The American journal of emergency medicine JID - 8309942 RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Fever/chemically induced MH - Holidays MH - Humans MH - Intubation, Intratracheal MH - Male MH - N-Methyl-3,4-methylenedioxyamphetamine/*poisoning MH - Pulmonary Edema/*chemically induced MH - Respiration, Artificial MH - Respiratory Distress Syndrome/*chemically induced/*therapy MH - Young Adult OTO - NOTNLM OT - ARDS OT - Ecstacy OT - Event medicine OT - MDMA OT - Mass gathering medicine OT - Patient presentation rate OT - Pulmonary edema EDAT- 2017/07/25 06:00 MHDA- 2017/09/08 06:00 CRDT- 2017/07/23 06:00 PHST- 2017/04/07 00:00 [received] PHST- 2017/06/20 00:00 [revised] PHST- 2017/06/21 00:00 [accepted] PHST- 2017/07/25 06:00 [pubmed] PHST- 2017/09/08 06:00 [medline] PHST- 2017/07/23 06:00 [entrez] AID - S0735-6757(17)30491-6 [pii] AID - 10.1016/j.ajem.2017.06.040 [doi] PST - ppublish SO - Am J Emerg Med. 2017 Sep;35(9):1385.e3-1385.e6. doi: 10.1016/j.ajem.2017.06.040. Epub 2017 Jun 27.