TY - JOUR T1 - One Night of Fun, One Lifetime of Effects: MDMA and Sympathomimetic Syndrome AU - Özdal, Mustafa Tolga AU - Yüksel, Melih AU - Ay, Mehmet Oğuzhan AU - İşler, Yeşim AU - Ocak, Umut AU - Engindeniz, Zülfi AU - Kaya, Halil PY - 2024 DA - April Y2 - 2024 DO - 10.51262/ejtox.1400570 JF - Eurasian Journal of Toxicology JO - Eurasian J Tox PB - Acil Tıp Uzmanları Derneği WT - DergiPark SN - 2667-8675 SP - 15 EP - 16 VL - 6 IS - 1 LA - en AB - Sympathomimetic syndromes are rare medical conditions involving complex clinical pictures caused by substances that have a stimulatory effect on the sympathetic nervous system or have similar effects to the sympathetic nervous system. In this case report, the clinical manifestations of sympathomimetic syndromes, the diagnostic process, treatment strategies and the difficulties encountered especially in emergency medicine will be reviewed. KW - Critical care KW - Emergency department KW - Sympathomimetic syndrome CR - Kalant H. The pharmacology and toxicology of “ecstasy” (MDMA) and related drugs. CMAJ. 2001 Oct 2;165(7):917- 28. PMID: 11599334; PMCID: PMC81503. CR - Steinkellner T, Freissmuth M, Sitte HH, Montgomery T. The ugly side of amphetamines: short- and long-term toxicity of 3,4-methylenedioxymethamphetamine (MDMA, ‘Ecstasy’), methamphetamine and D-amphetamine. Biol Chem. 2011 Jan;392(1-2):103-15. doi: 10.1515/BC.2011.016. PMID: 21194370; PMCID: PMC4497800. CR - Jansen KL, Theron L. Ecstasy (MDMA), methamphetamine, and date rape (drug-facilitated sexual assault): a consideration of the issues. J Psychoactive Drugs. 2006 Mar;38(1):1-12. doi: 10.1080/02791072.2006.10399822. PMID: 16681170. CR - King A, Dimovska M, Bisoski L. Sympathomimetic Toxidromes and Other Pharmacological Causes of Acute Hypertension. Curr Hypertens Rep. 2018 Feb 24;20(1):8. doi: 10.1007/s11906-018-0807-9. PMID: 29478133. CR - Chan TC, Evans SD, Clark RF. Drug-induced hyperthermia. Crit Care Clin. 1997 Oct;13(4):785-808. doi: 10.1016/s0749- 0704(05)70369-9. PMID: 9330841. CR - Brown H, Pollard KA. Drugs of Abuse: Sympathomimetics. Crit Care Clin. 2021 Jul;37(3):487-499. doi: 10.1016/j. ccc.2021.03.002. PMID: 34053702. CR - Shannon M. Methylenedioxymethamphetamine (MDMA, “Ecstasy”). Pediatr Emerg Care. 2000 Oct;16(5):377-80. doi: 10.1097/00006565-200010000-00022. PMID: 11063374. UR - https://doi.org/10.51262/ejtox.1400570 L1 - https://dergipark.org.tr/en/download/article-file/3580210 ER -