title: Fatal hyponatremia in a young woman after ecstasy ingestion.
abstract: 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.
  
  
  METHODS
  Physical examination, blood chemistry panel, urinary osmolality and electrolytes, arterial blood gas, chest X-ray, and CT scan of the brain.
  
  
  METHODS
  Hyponatremia associated with noncardiogenic pulmonary edema and cerebral edema.
  
  
  RESULTS
  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.
authors.affiliation: Harbor-UCLA Division of Nephrology and Hypertension, UCLA David Geffen School of Medicine, Torrance, CA 90502-2064, USA. kamkal@ucla.edu
authors.forename: Kamyar
authors.initials: K
authors.lastname: Kalantar-Zadeh
authors.forename: Minhtri K
authors.initials: MK
authors.lastname: Nguyen
authors.forename: Roger
authors.initials: R
authors.lastname: Chang
authors.forename: Ira
authors.initials: I
authors.lastname: Kurtz
mesh_terms: D000328:Adult; D017809:Fatal Outcome; D005260:Female; D006213:Hallucinogens / Q000506:poisoning*; D006801:Humans; D007010:Hyponatremia / Q000139:chemically induced*; D018817:N-Methyl-3,4-methylenedioxyamphetamine / Q000506:poisoning*
chemical_list: D006213:Hallucinogens; D018817:N-Methyl-3,4-methylenedioxyamphetamine