An unusual route of non-intentional intoxication by ecstasy in a toddler

C Lemoine; C Bréhin; P Micheau; M Lavit; I Claudet

doi:10.1016/j.arcped.2023.03.001

An unusual route of non-intentional intoxication by ecstasy in a toddler

Arch Pediatr. 2023 May;30(4):254-256. doi: 10.1016/j.arcped.2023.03.001. Epub 2023 Apr 14.

Authors

C Lemoine¹, C Bréhin², P Micheau¹, M Lavit³, I Claudet⁴

Affiliations

¹ Pediatric emergency department, Children Hospital, CHU Toulouse, France.
² Pediatric emergency department, Children Hospital, CHU Toulouse, France; UMR 1416, Inserm, IRSD, Toulouse, France.
³ Laboratory of Toxicology, CHU Toulouse, France.
⁴ Pediatric emergency department, Children Hospital, CHU Toulouse, France; UMR 1295, Inserm, CERPOP, Paul Sabatier University, UPS, Toulouse, France. Electronic address: claudet.i@chu-toulouse.fr.

PMID: 37061359
DOI: 10.1016/j.arcped.2023.03.001

Abstract

We report a pediatric case of ecstasy intoxication via an unusual route. A mother called the emergency services after her daughter had inserted an ecstasy pill into her nose. During transportation, the child developed hypertension, tachycardia, and tachypnea. She was admitted to the nearest regional hospital, where a physical examination revealed psychomotor agitation, mydriasis, hypertension, tachycardia, and no hyperthermia. Blood tests showed no abnormalities. She was subsequently transferred to a tertiary-level pediatric hospital. During transportation, she was described as being intensely agitated with persistent mydriasis, tachycardia, and high blood pressure. Urinary toxicological screening confirmed the presence of MDMA. She was discharged after 24 h.

Keywords: Amphetamines; Ecstasy; Intoxication; Nasal route; Pediatric.

Publication types

Case Reports

MeSH terms

Child
Child, Preschool
Female
Fever
Humans
Hypertension*
Mydriasis*
N-Methyl-3,4-methylenedioxyamphetamine* / toxicity
Tachycardia / chemically induced

Substances

N-Methyl-3,4-methylenedioxyamphetamine