NİLÜFER ELDEŞ HACIFAZLIOĞLU, Hamzah AMEER, Yüksel YILMAZ, Hilal HOROZOĞLU

MDMA Kullanımı Sonrası Miyoglobinüri ve Böbrek Yetmezliği Olmadan Kreatin Kinaz Yüksekliği Olan Bir Olgu Sunumu

Akut ensefalopati ve serum kreatin kinaz yüksekliği ile başvuran adolesan hastalarda ekstazi kullanımın ayırcı tanıda akla gelmesi gerektiğini vurgulamak amacı ile çocuk acil polkliniğine 3,4- Methylenedioxymethamphetamine (MDMA) ekstazi toksisitesine bağlı akut ensefalopati ile başvuran tetkiklerinde böbrek yetmezliği ve miyoglobinüri olmadan serumda kreatin kinaz yüksekliği tespit edilen 15 yaşında erkek olgu sunulmuştur.

Anahtar Kelimeler:

Artmış serum kreatin düzeyi, Deliryum, Ekstazi, Rabdomiyoliz, Adolesan

Increased Creatinine Kinase Levels due to MDMA use without Myoglobinuria and Renal Failure

We report a 15-year-old boy admitted to the pediatric emergency unit with acute encephalopathy associated with an elevated serum creatine kinase (CK) level without myoglobinuria and renal failure, which was due to 3,4- Methylenedioxymethamphetamine (MDMA) toxicity and we emphasize that especially in adolescents with acute encephalopathy and an increased serum CK level, ecstasy abuse should be kept in mind as a differential diagnosis. (Marmara Medical Journal 2012;25:41-4)Key Words: Increased CK level, Delirium, Ecstasy, Rhabdomyolysis, Adolescent

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