Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
|
pubmed:dateCreated |
1997-7-9
|
pubmed:abstractText |
Methylenedimethoxymethamphetamine (MDMA), more commonly known as ecstasy, is a synthetic amphetamine derivative used by teenagers and young adults in the United States as well as in Western Europe as a "dance drug". Though a number of complications associated with this drug have been reported, there is little information pertaining to hepatoxity as a result of MDMA ingestion. This case report is about an 18-year-old female patient who regularly used ecstasy on weekends over a 2-month period. Within 2 days after accepting a "hit" of the substance at a party, she was admitted to the hospital because of lethargy, vomiting, abdominal pain, stool discoloration, icterus, and darkened urine. On day 7 she developed fulminant hepatic failure with reduced hepatic coagulation factors and grade IV encephalopathy. Orthotopic liver transplantation was carried out 10 days following the ingestion. The patient made a full recovery within 72 h and was released from the hospital 6 weeks later. Histopathological examination of the removed liver revealed a nutritive-toxic liver necrosis. This case demonstrates that the ingestion of ecstasy, even on an infrequent basis, can lead to acute fulminant liver necrosis, and that this life-threatening complication can be treated successfully by liver transplantation.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:issn |
0934-0874
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
10
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
229-33
|
pubmed:dateRevised |
2005-11-16
|
pubmed:meshHeading |
pubmed-meshheading:9163865-Adolescent,
pubmed-meshheading:9163865-Adult,
pubmed-meshheading:9163865-Female,
pubmed-meshheading:9163865-Humans,
pubmed-meshheading:9163865-Liver Failure, Acute,
pubmed-meshheading:9163865-Liver Transplantation,
pubmed-meshheading:9163865-Male,
pubmed-meshheading:9163865-N-Methyl-3,4-methylenedioxyamphetamine
|
pubmed:year |
1997
|
pubmed:articleTitle |
Liver transplantation for the treatment of fulminant hepatic failure induced by the ingestion of ecstasy.
|
pubmed:affiliation |
Department of Surgery, Klinikum rechts der Isar, Technical University Munich, Germany.
|
pubmed:publicationType |
Journal Article,
Review,
Case Reports
|