Ecstasy-Induced Rhabdomyolysis Leading to Severe Acute Kidney Injury Requiring Temporary Hemodialysis: A High Risk for Recurrence With Repeated Exposure

Ecstasy (3,4-methylenedioxymethyl-amphetamine, MDMA) is an illicit drug that has found widespread use. It is mostly used by adolescents and young adults, particularly during intense and prolonged dance parties for its mood-enhancing properties. Despite these pleasurable effects, users may have poten...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-07, Vol.16 (7), p.e64010
Main Authors: Forsah, Sabastain F, Razak, Bibi, Arrey Agbor, Divine Besong, Kouyate, Gnama, Cossaro, Tristan, Dadlani, Sonia, Humayun, Anum
Format: Article
Language:English
Subjects:
Acidosis
Amphetamines
Bans
Blood
Creatinine
Cysts
Drug use
Ecstasy
Emergency medical care
Hemodialysis
Hydronephrosis
Internal Medicine
Kidneys
Kinases
Laboratories
Liver
Metabolism
Nephrology
Pain
Patients
Post traumatic stress disorder
Potassium
Recreational drugs
Rhabdomyolysis
Substance Use and Addiction
Ultrasonic imaging
Urine
Young adults
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Summary:Ecstasy (3,4-methylenedioxymethyl-amphetamine, MDMA) is an illicit drug that has found widespread use. It is mostly used by adolescents and young adults, particularly during intense and prolonged dance parties for its mood-enhancing properties. Despite these pleasurable effects, users may have potentially serious side effects including death. One of the serious side effects is rhabdomyolysis, which can proceed to severe acute kidney failure. Due to different personal characteristics, some individuals taking the same dose of MDMA may experience more adverse effects than others. Individuals who experience adverse effects are more likely to experience them with each use. Our patient used MDMA two times in his life, and on each occasion, he had severe rhabdomyolysis with severe acute kidney injury (AKI) requiring temporary hemodialysis. Health professionals should screen all adolescents and young adults for illicit drug use during each encounter and counsel them against it.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.64010