title: [Clinical and toxicological evaluation of fatal poisoning with amphetamine derivative--MDMA, ecstasy (3,4-methylenedioxymethamphetamine)].
abstract: Intoxications with amphetamine derivatives represent an important problem of clinical and forensic toxicology. Even if distribution of the drug group has been legally forbidden, they continue to pose serious threats, linked to their uncontrolled administration which frequently leads to lethal intoxications. We present a case of intoxication in a 17-year-old male with amphetamine derivate--MDMA, Ecstasy. Clinical analysis documented an acute multi-organ failure, in particular pronounced hepatic and renal insufficiency, disseminated intravascular clotting (DIC). The comprehensive diagnosis and resulting discharge abstract of the acute poisoning were confirmed by postmortem investigations.
authors.affiliation: Zakład Opieki Zdrowotnej-Jezyce, Szpital im. F. Raszei, Oddział Chorób Wewnetrznych i Ostrych Zatruć im. Dr Wandy Błeńskiej, Poznań.
authors.forename: Magdalena
authors.initials: M
authors.lastname: Lukasik-Głebocka
authors.forename: Roman
authors.initials: R
authors.lastname: Wachowiak
authors.forename: Andrzej
authors.initials: A
authors.lastname: Kostrzewa
authors.forename: Michał
authors.initials: M
authors.lastname: Karlikowski
authors.forename: Wojciech
authors.initials: W
authors.lastname: Mańkowski
authors.forename: Janusz
authors.initials: J
authors.lastname: Kołowski
mesh_terms: D058186:Acute Kidney Injury / Q000139:chemically induced*; D000293:Adolescent; D004211:Disseminated Intravascular Coagulation / Q000139:chemically induced*; D017809:Fatal Outcome; D006801:Humans; D017114:Liver Failure, Acute / Q000139:chemically induced*; D008297:Male; D009102:Multiple Organ Failure / Q000139:chemically induced*; D018817:N-Methyl-3,4-methylenedioxyamphetamine / Q000097:blood / Q000506:poisoning*
chemical_list: D018817:N-Methyl-3,4-methylenedioxyamphetamine