title: Fatal poisoning by MDMA (ecstasy) and MDEA: a case report.
abstract: The first observation of lethal recreational use of MDMA (ecstasy) and MDEA in Italy is reported, together with extensive toxicological and histopathological documentation. Findings such as disseminated intravascular coagulation, rarely reported before, are colocated in the framework of the toxic syndrome for a better definition of criteria for forensic diagnosis.
authors.affiliation: Department of Forensic Science, University of Siena, Policlinico Le Scotte, Italy.
authors.forename: V
authors.initials: V
authors.lastname: Fineschi
authors.forename: A
authors.initials: A
authors.lastname: Masti
mesh_terms: D015104:3,4-Methylenedioxyamphetamine / Q000031:analogs & derivatives* / Q000493:pharmacokinetics / Q000506:poisoning; D002196:Capillaries / Q000473:pathology; D015198:Designer Drugs / Q000493:pharmacokinetics / Q000506:poisoning*; D062787:Drug Overdose / Q000097:blood / Q000473:pathology*; D005455:Fluorescent Antibody Technique; D008401:Gas Chromatography-Mass Spectrometry; D006213:Hallucinogens / Q000493:pharmacokinetics / Q000506:poisoning*; D006801:Humans; D007684:Kidney Tubules / Q000473:pathology; D008168:Lung / Q000098:blood supply; D009212:Myoglobinuria / Q000097:blood / Q000139:chemically induced* / Q000473:pathology; D018817:N-Methyl-3,4-methylenedioxyamphetamine / Q000493:pharmacokinetics / Q000506:poisoning*; D011041:Poisoning / Q000097:blood / Q000473:pathology*; D011655:Pulmonary Embolism / Q000097:blood / Q000139:chemically induced / Q000473:pathology
chemical_list: D015198:Designer Drugs; D006213:Hallucinogens; D015104:3,4-Methylenedioxyamphetamine; D018817:N-Methyl-3,4-methylenedioxyamphetamine; C051800:3,4-methylenedioxyethamphetamine