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Case Report
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| What’s with all the water? Diuretic use for cerebral edema due to ecstasy | ||||||
| Ruben Hummelen1, Laus JMM Mulder2, Adriaan Dees3 | ||||||
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1MD, PhD, Resident, Department of Internal Medicine, Ikazia Hospital, Rotterdam, the Netherlands, and Present address: Family Medicine Resident, McMaster University, Hamilton, Ontario, Canada
2MD, Neurologist, Department of Neurology, Ikazia Hospital, Rotterdam, the Netherlands 3MD, PhD, Internist, Department of Internal Medicine, Ikazia Hospital, Rotterdam, the Netherlands, Present address: Family Medicine Resident, McMaster University, Hamilton, Ontario, Canada | ||||||
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| How to cite this article |
| Hummelen R, Mulder LJMM, Dees A. What’s with all the water? Diuretic use for cerebral edema due to ecstasy. Int J Case Rep Images 2017;8(5):335–338. |
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ABSTRACT
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Introduction:Ecstasy (XTC) is a widely used synthetic drug, which can cause severe complications.
Case Report: A 19-year-old male who had visited a rave party and used XTC presented at the hospital with acute hyponatremia and seizures. Initial treatment with hypertonic saline failed to prevent new seizures. When the hyponatremia persisted and we concluded that the patient was also volume overloaded due to polydipsia, we decided to administer a low dose of a loop diuretic. Within hours, more than six litres of urine was produced and the patient made a complete recovery with normalization of the serum sodium level. Conclusion: The combination of XTC use and excessive fluid intake can result in hypervolemia, along with treatment refractory hyponatremia. This case report emphasises the potential benefits of diuretics in the management of XTC-related hyponatremia. Keywords: Ecstasy, Hyponatriemia, Syndrome of inappropriate ADH secretion (SIADH) |
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Author Contributions
Ruben Hummelen – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Laus JMM Mulder – Substantial contributions to conception and design Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Adriaan Dees – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2017 Ruben Hummelen et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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