PMID- 8709087 OWN - NLM STAT- MEDLINE DCOM- 19960912 LR - 20221007 IS - 0141-0768 (Print) IS - 0141-0768 (Linking) VI - 89 IP - 1 DP - 1996 Jan TI - A fatal trip with ecstasy: a case of 3,4-methylenedioxymethamphetamine/3,4- methylenedioxyamphetamine toxicity. PG - 51P-2P AB - Since the late 1980s there have been a number of reports about the complications associated with using the designer drug 3,4-methylenedioxymethamphetamine (MDMA) or 'ecstasy'. Although this drug has been widely abused in the past, the potentially fatal complications have arisen recently mainly due to the circumstances of its use at all-night dance sessions or 'raves'. A combination of direct toxicity and strenuous physical exertion can lead to hyperthermia and its attendant complications. The following case illustrates some of the possible consequences following ingestion of 'ecstasy', and reiterates the importance of prompt recognition and treatment in preventing the development of irreversible sequelae. FAU - Coore, J R AU - Coore JR AD - Department of Clinical Chemistry, University Hospital, Nottingham, UK. LA - eng PT - Case Reports PT - Journal Article PL - England TA - J R Soc Med JT - Journal of the Royal Society of Medicine JID - 7802879 RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Adolescent MH - Fatal Outcome MH - Female MH - Fever/*chemically induced MH - Humans MH - *N-Methyl-3,4-methylenedioxyamphetamine MH - Physical Exertion MH - Substance-Related Disorders/*complications PMC - PMC1295645 EDAT- 1996/01/01 00:00 MHDA- 1996/01/01 00:01 PMCR- 1996/01/01 CRDT- 1996/01/01 00:00 PHST- 1996/01/01 00:00 [pubmed] PHST- 1996/01/01 00:01 [medline] PHST- 1996/01/01 00:00 [entrez] PHST- 1996/01/01 00:00 [pmc-release] AID - 10.1177/014107689608900115 [doi] PST - ppublish SO - J R Soc Med. 1996 Jan;89(1):51P-2P. doi: 10.1177/014107689608900115.