Spontaneous pneumomediastinum following ecstasy ingestion and sexual intercourse

Emergency Medicine Journal : EMJ
B W Stull

Abstract

Ecstasy is an illegal drug that has become widely used among adolescents and young adults. It is used recreationally for its stimulant and sensory-altering properties. Serious adverse effects are well documented and include arrhythmias, hyperthermia, seizures and long-term neuropsychiatric effects. A handful of previous case reports have recognised a relationship between ecstasy use and spontaneous pneumomediastinum, but an underlying mechanism has been difficult to identify. This report describes a 21-year-old man who presented with chest pain and dysphagia 1 day after using ecstasy. He was subsequently found to have both mediastinal and retropharyngeal emphysema. It is suspected that the underlying aetiology of the findings in this case was sexual intercourse.

Citations

Jun 14, 2013·Clinical Reviews in Allergy & Immunology·Will TsengTimothy E Albertson
May 6, 2010·Chest·Eva A BelottiMario G Bianchetti
Mar 2, 2010·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Rosalynn Bravo
Nov 5, 2013·Case Reports in Otolaryngology·A Gungadeen, J Moor
Mar 29, 2019·Case Reports in Otolaryngology·Samantha JaenschTony Shih-Wei Kuo

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