Ecstasy induced retropharyngeal emphysema.

Onwudike, Madu

doi:10.1136/emj.13.5.359

Cited by 20 publications

(30 citation statements)

References 6 publications

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“…Thirteen previous reports outlining case histories of 15 patients were identified in the world literature dating from 1993 ( Table 2). [1][2][3][4][5][6][7][8][9][10][11][12][13] Eight of the 15 patients underwent gastrograffin swallow to exclude oesophageal dysfunction. One patient had a small tear demonstrated and was treated conservatively.…”

Section: Resultsmentioning

confidence: 99%

Ecstasy-Associated Pneumomediastinum

Marasco

Lim

2007

annals

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INTRODUCTION Ecstasy, also known as MDMA (3,4, methylenedioxymethamphetamine), is a popular illicit party drug amongst young adults. The drug induces a state of euphoria secondary to its stimulant activity in the central nervous system. PATIENTS AND METHODS A database review at two major inner city hospitals was undertaken to identify patients presenting with pneumomediastinum and their charts reviewed. A Medline review of all reported cases of pneumomediastinum associated with ecstasy abuse was undertaken. RESULTS A total of 56 patients presenting with pneumomediastinum were identified over a 5-year period. Review of the charts revealed a history of ecstasy use in the hours prior to presentation in six of these patients, representing the largest series reported to date.CONCLUSIONS Review of previously reported cases reveals the likely mechanism is due to Valsalva manoeuvre during periods of extreme physical exertion, and not a direct pharmacological effect of the drug. KEYWORDSMediastinal emphysema -N-Methyl-3,4-methylenedioxyamphetamine -Ecstasy

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Section: Resultsmentioning

confidence: 99%

Ecstasy-Associated Pneumomediastinum

Marasco

Lim

2007

annals

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“…Clínicamente suele presentarse con odinofagia, náuseas y vómitos, disnea, dolor cervical, dolor torácico y tos (2,5,6). Ocasionalmente al igual que con la cocaína pueden aparecer síntomas cardiacos (6).…”

Section: Discussionunclassified

“…Ocasionalmente al igual que con la cocaína pueden aparecer síntomas cardiacos (6). A la exploración suele evidenciarse la presencia de enfisema subcutáneo cervical y torácico, taquicardia, taquipnea y el signo de Hamman (2,4-6).…”

Section: Discussionunclassified

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Neumomediastino y enfisema cervical tras consumo de "éxtasis" (3,4 metilendioximetanfetamina)

Sánchez

Moreno

Picazo

et al. 2007

Rev. esp. enferm. dig.

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“…4,5,7 Treatment is supportive, including hospital admission and close observation. 4,6,7 Ambulatory treatment is also considered appropriate. 4 There are no randomised controlled trials comparing treatment efficacy.…”

Section: Discussionmentioning

confidence: 99%

X-ray Quiz: a Young Man with Chest Pain

Chung¹

2004

Hong Kong Journal of Emergency Medicine

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A 21-year-old man presented to the emergency department complaining of ill-defined anterior chest wall pain and discomfort for two days, after a drinking spree. The pain was aggravated by deep breathing. There was no history of recent trauma. There was no other symptom. He was healthy all along. His blood pressure was 123/60 mmHg, pulse rate 95 beats/ minute, respiratory rate 16 breaths/minute and oral temperature 36.4°C. The physical examination was essentially normal. There was no local tenderness of the chest wall. Chest X-ray was taken (Figure 1).

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Ecstasy induced retropharyngeal emphysema.

Abstract: Correspondence to:This is the first reported case of isolated Madu Onwudike FRCSEd,

Cited by 20 publications

References 6 publications

Ecstasy-Associated Pneumomediastinum

Ecstasy-Associated Pneumomediastinum

Neumomediastino y enfisema cervical tras consumo de "éxtasis" (3,4 metilendioximetanfetamina)

X-ray Quiz: a Young Man with Chest Pain

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