title: Hyponatraemia and death after "ecstasy" ingestion.
abstract: A 15-year-old girl collapsed with respiratory arrest after taking "ecstasy" at a "dance party". She presented to hospital with hyponatraemia and cerebral oedema and later died. We postulate that ingestion of large amounts of water contributed to the hyponatraemia. Advice to those using ecstasy at dance parties should be modified to suggest moderate fluid intake only and to emphasise the need to seek prompt medical attention for non-resolving symptoms.
authors.affiliation: Intensive Therapy Unit, Royal North Shore Hospital, Sydney, NSW.
authors.forename: M J
authors.initials: MJ
authors.lastname: Parr
authors.forename: H M
authors.initials: HM
authors.lastname: Low
authors.forename: P
authors.initials: P
authors.lastname: Botterill
mesh_terms: D000293:Adolescent; D001926:Brain Death / Q000175:diagnosis; D001929:Brain Edema / Q000139:chemically induced / Q000175:diagnosis; D062787:Drug Overdose; D017809:Fatal Outcome; D005260:Female; D015600:Glasgow Coma Scale; D006213:Hallucinogens / Q000506:poisoning*; D006801:Humans; D007010:Hyponatremia / Q000139:chemically induced*; D018817:N-Methyl-3,4-methylenedioxyamphetamine / Q000506:poisoning*; D011654:Pulmonary Edema / Q000139:chemically induced / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed
chemical_list: D006213:Hallucinogens; D018817:N-Methyl-3,4-methylenedioxyamphetamine