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BMJ Case Rep. 2010; 2010: bcr0420102925.
Published online 2010 September 21. doi:  10.1136/bcr.04.2010.2925
PMCID: PMC3029518
Findings that shed new light on the possible pathogenesis of a disease or an adverse effect

The serotonin syndrome as a result of mephedrone toxicity


A 22-year-old male presented to an emergency department by ambulance. His clinical picture included tachycardia, diaphoresis, hypertonia, hyper-reflexia and clonus. The patient became hyperthermic and deteriorated over the next hour. The principal substance ingested was mephedrone and appropriate treatment for the serotonin syndrome resulted in a sustained recovery over 15 h.

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