PMID- 31404223 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2146-4618 (Print) IS - 2146-4626 (Electronic) IS - 2146-4626 (Linking) VI - 8 IP - 3 DP - 2019 Sep TI - Dexmedetomidine to Treat 3, 4-Methylenedioxymethamphetamine-Induced Agitation in a 13-Month-Old Infant: A Case Report and Literature Review. PG - 175-177 LID - 10.1055/s-0039-1677815 [doi] AB - We report a 13-month-old infant who accidentally ingested a tablet of 3, 4-methylenedioxymethamphetamine (MDMA) and was brought to the emergency department with tachycardia, seizures, mydriasis, and altered mental status. The patient received multiple doses of benzodiazepines to treat the seizures and developed respiratory insufficiency needing intubation. After extubation, the patient developed hyperactivity, myoclonic, and choreoathetoid movements which were unresponsive to benzodiazepines. Dexmedetomidine was started with good response. The patient made a full clinical recovery. This is the first case that illustrates the possibility to treat MDMA-induced agitation with dexmedetomidine in a 13-month-old infant. FAU - Sanders, Patricia J L T AU - Sanders PJLT AD - Section of Pediatric Intensive Care, Department of Pediatrics, Maastricht University Medical Center (MUMC + ), Maastricht, The Netherlands. FAU - Hanot, Jan AU - Hanot J AD - Section of Pediatric Intensive Care, Department of Pediatrics, Maastricht University Medical Center (MUMC + ), Maastricht, The Netherlands. LA - eng PT - Case Reports DEP - 20190213 PL - Germany TA - J Pediatr Intensive Care JT - Journal of pediatric intensive care JID - 101592756 PMC - PMC6687446 OTO - NOTNLM OT - MDMA OT - dexmedetomidine OT - infant COIS- Conflict of Interest None declared. EDAT- 2019/08/14 06:00 MHDA- 2019/08/14 06:01 PMCR- 2020/09/01 CRDT- 2019/08/13 06:00 PHST- 2018/10/04 00:00 [received] PHST- 2019/01/01 00:00 [accepted] PHST- 2019/08/13 06:00 [entrez] PHST- 2019/08/14 06:00 [pubmed] PHST- 2019/08/14 06:01 [medline] PHST- 2020/09/01 00:00 [pmc-release] AID - 1800043 [pii] AID - 10.1055/s-0039-1677815 [doi] PST - ppublish SO - J Pediatr Intensive Care. 2019 Sep;8(3):175-177. doi: 10.1055/s-0039-1677815. Epub 2019 Feb 13.