Isolated non-cardiogenic pulmonary edema - A rare complication

Am J Emerg Med · Sep 2017

Case Reports

Isolated non-cardiogenic pulmonary edema - A rare complication of MDMA toxicity.

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.

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- Astrid Haaland, Elliot Warman, Illya Pushkar, Antonios Likourezos, and Matt S Friedman.
- Department of Emergency Medicine, Maimonides Medical Center, 4802 Tenth Avenue, Brooklyn, New York 11219, USA. Electronic address: ahaaland@maimonidesmed.org.
- Am J Emerg Med. 2017 Sep 1; 35 (9): 1385.e3-1385.e6.
AbstractThis 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.Copyright © 2017 Elsevier Inc. All rights reserved.

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Isolated non-cardiogenic pulmonary edema - A rare complication of MDMA toxicity.

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