PMID- 30280055
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201001
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 10
IP  - 7
DP  - 2018 Jul 27
TI  - Persistent Psychosis due to Single Dose of Ecstasy.
PG  - e3058
LID - 10.7759/cureus.3058 [doi]
LID - e3058
AB  - Ecstasy, a popular drug among the younger generation, the primary psychoactive 
      component of which is 3,4-Methylenedioxymethamphetamine (MDMA), is rarely known 
      to have acute psychiatric effects and when it does, it is usually short term. We 
      describe a patient who presented to the emergency room in a psychotic state after 
      using ecstasy recreationally. Given his aggressive behavior in the community and 
      risk for self-harm, he was emergently hospitalized to ensure safety. He developed 
      persistent psychotic symptoms (delusions) after one dose of recreational MDMA and 
      the team had the opportunity to observe, monitor, and treat his psychosis. This 
      case along with few other documented cases highlights the gaps in research about 
      the chronic, persistent effects and long-term consequences of MDMA. It also 
      suggests that neuropsychiatric symptoms may not be readily reversible after 
      cessation of use. There is an emphasis on the need for physicians to inquire 
      about MDMA use and include it in toxicology screenings and as a potential 
      differential diagnosis.
FAU - Virani, Sanya
AU  - Virani S
AD  - Psychiatry, Maimonides Medical Center, Brooklyn, USA.
FAU - Daya, Gulzar N
AU  - Daya GN
AD  - Biology, Loyola University, Chicago, USA.
FAU - Brainch, Navjot
AU  - Brainch N
AD  - Psychiatry, Maimonides Medical Center, Brooklyn, USA.
FAU - Kotapati, Vijaya Padma
AU  - Kotapati VP
AD  - Psychiatry, Manhattan Psychiatric Center, New York, USA.
FAU - Zaveri, Deval
AU  - Zaveri D
AD  - Psychiatry, Maimonides Medical Center, New York, USA.
FAU - Ahmed, Saeed
AU  - Ahmed S
AD  - Behavioral Health Sciences, Nassau University Medical Center, East Meadow, USA.
LA  - eng
PT  - Case Reports
DEP - 20180727
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC6166901
OTO - NOTNLM
OT  - ecstasy
OT  - mdma
OT  - psychosis
COIS- The authors have declared that no competing interests exist.
EDAT- 2018/10/04 06:00
MHDA- 2018/10/04 06:01
PMCR- 2018/07/27
CRDT- 2018/10/04 06:00
PHST- 2018/10/04 06:00 [entrez]
PHST- 2018/10/04 06:00 [pubmed]
PHST- 2018/10/04 06:01 [medline]
PHST- 2018/07/27 00:00 [pmc-release]
AID - 10.7759/cureus.3058 [doi]
PST - epublish
SO  - Cureus. 2018 Jul 27;10(7):e3058. doi: 10.7759/cureus.3058.