• BMJ case reports · Apr 2018

    Case Reports

    Bilateral pneumothorax, surgical emphysema and pneumomediastinum in a young male patient following MDMA intake.

    • Nonyelum Evangeline Obiechina, Ahrane Jayakumar, Yusra Khan, and James Bass.
    • Elderly Medicine, Burton Hospitals NHS Foundation Trust, Burton on Trent, UK.
    • BMJ Case Rep. 2018 Apr 7; 2018.

    AbstractMDMA (3,4-methylenedioxymethamphetamine) or 'Ecstasy' is an illicit drug frequently used by young people at parties and 'raves'. It is readily available in spite of the fact that it is illegal.1 It is perceived by a lot of young people as being 'harmless', but there have been a few high-profile deaths associated with its use.2 Known side effects of MDMA include hyperthermia, rhabdomyolysis, coagulopathy and cardiac arrhythmias.3 Rarer side effects include surgical emphysema and pneumomediastinum, which have been better described with cocaine abuse.4-6 We present a case of bilateral pneumothorax, surgical emphysema and pneumomediastinum in a young man after taking ecstasy.© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

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