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MDMA induced hyperthermia: a survivor with an initial body temperature of 42.9 degrees C.

A. Mallick, Andrew Bodenham

Emergency Medicine Journal September 1, 1997 DOI: 10.1136/emj.14.5.336 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case study Case report Peer reviewed
Sample size 1
Population Young male who ingested MDMA
Interventions assisted ventilation aggressive fluid therapy dantrolene cooling measures
Topics MDMA
Keywords Rhabdomyolysis Dantrolene Anesthesia Ingestion Metabolic acidosis Malignant hyperthermia Restraint-related deaths
Citations 59
Key findings A young male survived severe hyperpyrexia (42.9 °C) after MDMA ingestion with treatment including dantrolene, aggressive fluids, and assisted ventilation.

Abstract

A young male survived hyperpyrexia (42.9 degrees C) following MDMA ("Ecstasy") ingestion. He developed convulsions, rhabdomyolysis, metabolic acidosis, and respiratory failure. This was successfully managed by assisted ventilation, aggressive fluid therapy, and the early administration of dantrolene, in addition to cooling measures. This is the first report of a survivor with such a severe hyperpyrexia.

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