Titre : | Fatal hyponatremia in a young woman after ecstasy ingestion |
Titre traduit : | (Hyponatrémie mortelle chez une jeune femme après ingestion d'ecstasy.) |
Auteurs : | K. KALANTAR-ZADEH ; M. K. NGUYEN ; R. CHANG ; I. KURTZ |
Type de document : | Périodique |
Année de publication : | 2006 |
Format : | p.283-288 |
Note générale : |
Nature Clinical Practice - Nephrology, 2006, 2, (5), 283-288
|
Langues: | Anglais |
Discipline : | PAT (Pathologie organique / Organic pathology) |
Mots-clés : |
Thésaurus géographique ETATS-UNISThésaurus mots-clés SEXE FEMININ ; MDMA-ECSTASY ; OEDEME ; ETUDE DE CAS ; EFFET SECONDAIRE ; TOXICITE ; POUMON ; SYMPTOME |
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. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 18 |
Affiliation : |
Harbor-UCLA Division of Nephrology and Hypertension, UCLA David Geffen School of Medicine, Torrance, CA 90502-2064. Etats-Unis. United States. |
Numéro Toxibase : | 1301868 |
Centre Emetteur : | 13 OFDT |
Cote : | A02915 |
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