title: Survival of massive gamma-hydroxybutyrate/1,4-butanediol overdose.
abstract: Gamma-hydroxybutyrate and its metabolic precursors gamma butyrolactone and 1,4-butanediol are widely used recreational drugs known to cause short periods of deep sedation with rapid recovery. We present a case of survival with good neurological outcome following massive ingestion in which the patient remained sedated for 14 h.
authors.affiliation: Department of Emergency Medicine, Royal Adelaide Hospital, Adelaide, South Australia, Australia. m_stricko@hotmail.com
authors.forename: Richard M
authors.initials: RM
authors.lastname: Strickland
authors.forename: Peter
authors.initials: P
authors.lastname: Felgate
authors.forename: David G E
authors.initials: DG
authors.lastname: Caldicott
mesh_terms: D000328:Adult; D002072:Butylene Glycols / Q000506:poisoning*; D005260:Female; D006801:Humans; D013287:Illicit Drugs / Q000506:poisoning*; D012131:Respiratory Insufficiency / Q000139:chemically induced*; D012640:Seizures / Q000139:chemically induced*; D012978:Sodium Oxybate / Q000506:poisoning*
chemical_list: D002072:Butylene Glycols; D013287:Illicit Drugs; D012978:Sodium Oxybate; C039681:1,4-butanediol