title: A report of an outbreak of toxicity from a novel drug of abuse: ERIC-3.
abstract: BACKGROUND
  Novel drugs of abuse are becoming more common in the UK, and they represent particular difficulties in management. We present a case series of toxicity due to a novel substance Eric-3.
  
  
  METHODS
  This was a retrospective case note review over a 6-month period. Patients were included if their presentation was due to ingestion of Eric-3. Physiological data, symptoms, outcome and destination of the patient from the ED were collected. Postmortem toxicological analysis was obtained for one of the patients who died.
  
  
  RESULTS
  41 attendances were identified from 18 patients. Two patients died and five were admitted to ITU. Heart rate and temperature on arrival tended to be above normal (mean heart rate was 112 bpm, with an SD of 18; mean temperature was 37.45° with an SD of 0.95°). 63.4% of attendances included agitation and 34.1% choreiform movements. α-Methyltryptamine and 3-/4-flouroephedrine were found in the blood of one of the patients who died.
  
  
  CONCLUSIONS
  In this outbreak, Eric-3 gave symptoms similar to other stimulants. It may have been a novel substance 3-/4-flouroephedrine. It underlines the need for prospective data collection and information sharing.
authors.affiliation: Emergency Department, Great Western Hospital, Swindon, UK. stephen.haig@gwh.nhs.uk
authors.forename: Stephen Douglas
authors.initials: SD
authors.lastname: Haig
authors.forename: Charlotte
authors.initials: C
authors.lastname: Kelly
authors.forename: Clare
authors.initials: C
authors.lastname: Morden
mesh_terms: D000328:Adult; D001344:Autopsy; D016000:Cluster Analysis; D004338:Drug Combinations; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D004809:Ephedrine / Q000031:analogs & derivatives / Q000097:blood / Q000506:poisoning; D006801:Humans; D013287:Illicit Drugs / Q000737:chemistry / Q000506:poisoning*; D008875:Middle Aged; D012189:Retrospective Studies; D019966:Substance-Related Disorders / Q000150:complications / Q000453:epidemiology* / Q000628:therapy; D016896:Treatment Outcome; D014363:Tryptamines / Q000097:blood / Q000506:poisoning*; D006113:United Kingdom / Q000453:epidemiology; D055815:Young Adult
chemical_list: D004338:Drug Combinations; D013287:Illicit Drugs; D014363:Tryptamines; C015293:indopan; D004809:Ephedrine