Profound Hypoglycemia with Ecstasy Intoxication
Joint Authors
Iyer, Vivek N.
Carrera, Perliveh
Source
Case Reports in Emergency Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-2, 2 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-01-27
Country of Publication
Egypt
No. of Pages
2
Main Subjects
Abstract EN
Background.
3,4-Methylenedioxymethamphetamine (MDMA) or ecstasy is a synthetic drug that is commonly abused for its stimulant and euphoric effects.
Adverse MDMA effects include hyperthermia, psychomotor agitation, hemodynamic compromise, renal failure, hyponatremia, and coma.
However, endogenous hyperinsulinemia with severe persistent hypoglycemia has not been reported with MDMA use.
Case Report.
We report the case of a 29-year-old woman who remained severely hypoglycemic requiring continuous intravenous infusion of high-dose dextrose solutions for more than 24 hours after MDMA intoxication.
Serum insulin and C-peptide levels confirmed marked endogenous hyperinsulinemia as the cause of the severe hypoglycemia.
Why Should an Emergency Physician Be Aware of This? Immediate and frequent monitoring of blood glucose should be instituted in patients presenting with MDMA ingestion particularly if found to be initially hypoglycemic.
Early recognition can help prevent the deleterious effects of untreated hypoglycemia that can add to the morbidity from MDMA use.
Clinicians need to be aware of this side effect of MDMA so they can carefully monitor and treat it, especially in patients presenting with altered mental status.
American Psychological Association (APA)
Carrera, Perliveh& Iyer, Vivek N.. 2015. Profound Hypoglycemia with Ecstasy Intoxication. Case Reports in Emergency Medicine،Vol. 2015, no. 2015, pp.1-2.
https://search.emarefa.net/detail/BIM-1058460
Modern Language Association (MLA)
Carrera, Perliveh& Iyer, Vivek N.. Profound Hypoglycemia with Ecstasy Intoxication. Case Reports in Emergency Medicine No. 2015 (2015), pp.1-2.
https://search.emarefa.net/detail/BIM-1058460
American Medical Association (AMA)
Carrera, Perliveh& Iyer, Vivek N.. Profound Hypoglycemia with Ecstasy Intoxication. Case Reports in Emergency Medicine. 2015. Vol. 2015, no. 2015, pp.1-2.
https://search.emarefa.net/detail/BIM-1058460
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058460