Historique
Périodique
Fatal hyponatremia in a young woman after ecstasy ingestion
(Hyponatrémie mortelle chez une jeune femme après ingestion d'ecstasy.)
Auteur(s) :
KALANTAR-ZADEH, K. ;
NGUYEN, M. K. ;
CHANG, R. ;
KURTZ, I.
Année
2006
Page(s) :
p.283-288
Langue(s) :
Anglais
Refs biblio. :
18
Domaine :
Drogues illicites / Illicit drugs
Discipline :
PAT (Pathologie organique / Organic pathology)
Thésaurus géographique
ETATS-UNIS
Thésaurus mots-clés
SEXE FEMININ
;
MDMA-ECSTASY
;
OEDEME
;
ETUDE DE CAS
;
EFFET SECONDAIRE
;
TOXICITE
;
POUMON
;
SYMPTOME
Note générale :
Nature Clinical Practice - Nephrology, 2006, 2, (5), 283-288
Résumé :
BACKGROUND: A 20-year old, otherwise healthy, female college student presented in an unresponsive state with respiratory distress after ingesting ecstasy (3,4-methylenedioxymethamphetamine). She had initial plasma sodium concentration of 117 mmol/l. INVESTIGATIONS: Physical examination, blood chemistry panel, urinary osmolality and electrolytes, arterial blood gas, chest X-ray, and CT scan of the brain. DIAGNOSIS: Hyponatremia associated with noncardiogenic pulmonary edema and cerebral edema. MANAGEMENT: Administration of a total of 6.8 l of isotonic saline and 0.245 l of 3% hypertonic saline with sporadic administration of intravenous furosemide. The patient died approximately 12 h after admission.
Affiliation :
Harbor-UCLA Division of Nephrology and Hypertension, UCLA David Geffen School of Medicine, Torrance, CA 90502-2064.
Etats-Unis. United States.
Etats-Unis. United States.
Cote :
A02915