Adolescent With Acute Liver Failure in the Setting of Ethanol, Cocaine, and Ecstasy Ingestion Treated With a Molecular Adsorbent Recirculating System

Peck, Jacquelin; Replete, Nina; Melquist, Stephanie J.; Flores, Francisco; Wilsey, Michael

doi:10.7759/cureus.9699

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…Liver transplantation is an option in severe cases [8]. Molecular Adsorbent Recirculating System (MARS®) therapy or "liver dialysis" has also been tried in a case of acute liver failure in an adolescent male secondary to the recreational use of ethanol and cocaine in addition to MDMA [9].…”

Section: Discussionmentioning

confidence: 99%

A Case of Ecstasy-Induced Acute Hepatic Injury

Sharma¹,

Sharma²,

Lamichhane³

et al. 2022

Cureus

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The recreational use of a drug such as 3,4-methylenedioxymethamphetamine (MDMA), also known as "ecstasy," may be associated with significant side effects. Although liver failure with ecstasy is rare, the use of the drug should be investigated in all patients with severe hepatitis of unknown origin. Early diagnosis and intervention can prevent patients from ending up in liver transplantation. Here, we present a case of a 27-year-old female who developed acute liver injury secondary to recreational intoxication with ecstasy.

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Section: Discussionmentioning

confidence: 99%

A Case of Ecstasy-Induced Acute Hepatic Injury

Sharma¹,

Sharma²,

Lamichhane³

et al. 2022

Cureus

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Fulminant Hepatitis Associated with Chronic Consumption of 3,4-Methylenedioxy-Methamphetamine; Case Report

Gomez,

Valdez,

Escamilla

et al. 2024

OJGas

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The amphetamine derivative 3,4-methylenedioxymethamphetamine (MDMA), also called ecstasy, is a neurotoxin widely consumed among young people that has increased in recent years because it is a recreational drug, of which immediate effects are known such as a greater sensation of well-being, extroversion, increased sensory perception. However, its long-term effects have been described very little in the medical literature, including damage to the heart, central nervous system, kidney, etc. One of its little-known effects is hepatotoxicity, of which few cases are known associated with fulminant hepatitis, which is a rapidly deteriorating condition that is generally associated with a syndrome of multiple organ dysfunction and death. Therefore, it is very important to know this type of damage in the short and long term. The following case is of a 39-year-old man who came to our service due to jaundice syndrome and the only history of MDMA consumption, who as the days went by met the criteria for fulminant liver failure, with damage to multiple organs (organ dysfunction syndrome).

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Adolescent With Acute Liver Failure in the Setting of Ethanol, Cocaine, and Ecstasy Ingestion Treated With a Molecular Adsorbent Recirculating System

Cited by 2 publications

References 13 publications

A Case of Ecstasy-Induced Acute Hepatic Injury

A Case of Ecstasy-Induced Acute Hepatic Injury

Fulminant Hepatitis Associated with Chronic Consumption of 3,4-Methylenedioxy-Methamphetamine; Case Report

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