title: A death due to ecstasy - a case report.
abstract: Drug addicts face the dangers of accidental overdose, fatal intoxication, reduced tolerance and carelessness in consuming drugs. There is an increasing use of designer drugs in many cities. The body of a 29 year-old male, an event manager by profession with an alleged history of consumption of ecstasy tablets, was subjected to autopsy. The cause of death was found to be disseminated intravascular coagulation consequent upon consumption of methylenedioxymethamphetamine. This was based on the brief history, autopsy features and a chemical analysis report. This case is discussed with the background of the existing literature about the interplay of the actions of methylenedioxymethamphetamine, the hyperthermia that would result from physical exertion as in dancing in rave parties leading to hyponatremia and the causes of disseminated intravascular coagulation.
authors.affiliation: Department of Forensic Medicine, M.S. Ramaiah Medical College, Bangalore, India girishchandra14@gmail.com.
authors.forename: Yp Girish
authors.initials: YG
authors.lastname: Chandra
authors.affiliation: Department of Forensic Medicine, M.S. Ramaiah Medical College, Bangalore, India.
authors.forename: Akshith R
authors.initials: AR
authors.lastname: Shetty
authors.affiliation: Department of Forensic Medicine, M.S. Ramaiah Medical College, Bangalore, India.
authors.forename: S H
authors.initials: SH
authors.lastname: Jayanth
authors.affiliation: Department of Forensic Medicine, M.S. Ramaiah Medical College, Bangalore, India.
authors.forename: Basappa S
authors.initials: BS
authors.lastname: Hugar
authors.affiliation: Department of Forensic Medicine, M.S. Ramaiah Medical College, Bangalore, India.
authors.forename: S
authors.initials: S
authors.lastname: Praveen
authors.affiliation: Department of Forensic Medicine, M.S. Ramaiah Medical College, Bangalore, India.
authors.forename: S
authors.initials: S
authors.lastname: Harish
mesh_terms: D000328:Adult; D001344:Autopsy; D003643:Death; D006213:Hallucinogens / Q000009:adverse effects*; D006801:Humans; D008297:Male; D018817:N-Methyl-3,4-methylenedioxyamphetamine / Q000009:adverse effects*
chemical_list: D006213:Hallucinogens; D018817:N-Methyl-3,4-methylenedioxyamphetamine
keywords: Methylenedioxymethamphetamine; disseminated intravascular coagulation; ecstasy; physical exertion