There have also been adverse events stemming from adulteration. However, since MDMA is a substituted amphetamine it can lead to sympathomimetic toxicity, serotonin syndrome, and possible multi-organ failure from severe hyperthermia. It is known for its empathogenic, euphoric, and stimulant effects. If you ask people who frequent the music scenes (festivals, concerts, clubs), they’ll tell you MDMA is a safe drug. It is claimed they all consumed methylenedioxymethamphetamine (MDMA) - better known as Molly and Ecstasy. You find out they’re all coming from the same music festival. They all have temperatures greater than 106 o F, are tachycardic into the 120s, and have elevated blood pressures 180/90s.
The patients all have similar physical findings. You are working a regular weekend shift when suddenly you get an influx of young patients presenting to your emergency department with altered mental status (AMS), agitation, tachycardia, hypertension and elevated core body temperatures.
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