Haaland Astrid, Warman Elliot, Pushkar Illya, Likourezos Antonios, Friedman Matt S
Department of Emergency Medicine, Maimonides Medical Center, 4802 Tenth Avenue, Brooklyn, New York 11219, USA.
SUNY Downstate College of Medicine, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.
Am J Emerg Med. 2017 Sep;35(9):1385.e3-1385.e6. doi: 10.1016/j.ajem.2017.06.040. Epub 2017 Jun 27.
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.
