Evidence map›Paper›PMID 31643086›Full record

ArticleJournal of forensic sciences2019

Unexpected Serotonin Syndrome, Epileptic Seizures, and Cerebral Edema Following 2,5-dimethoxy-4-bromophenethylamine Ingestion.

Antoinette S Spoelder, Jan K G Louwerens, Stefanie D Krens, Nynke Jager, Natalie E LeCouffe, Wouter de Ruijter, Tibor M Brunt

Abstract readCase Reports
In one paragraph

Article in Journal of forensic sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Toxicology and Pharmacological Interactions of Classic Psychedelics.Current topics in behavioral neurosciences · 2026
    Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Antoinette S SpoelderDepartment Intensive Care, Northwest Clinics (Noordwest Ziekenhuisgroep), Postbus 501, 1800 AM, Alkmaar, The Netherlands.
Jan K G LouwerensDepartment Intensive Care, Northwest Clinics (Noordwest Ziekenhuisgroep), Postbus 501, 1800 AM, Alkmaar, The Netherlands.
Stefanie D KrensDepartment Intensive Care, Northwest Clinics (Noordwest Ziekenhuisgroep), Postbus 501, 1800 AM, Alkmaar, The Netherlands.
Nynke JagerDepartment Intensive Care, Northwest Clinics (Noordwest Ziekenhuisgroep), Postbus 501, 1800 AM, Alkmaar, The Netherlands.
Natalie E LeCouffeDepartment Intensive Care, Northwest Clinics (Noordwest Ziekenhuisgroep), Postbus 501, 1800 AM, Alkmaar, The Netherlands.
Wouter de RuijterDepartment Intensive Care, Northwest Clinics (Noordwest Ziekenhuisgroep), Postbus 501, 1800 AM, Alkmaar, The Netherlands.
Tibor M BruntAmsterdam University Medical Centre, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

4-bromo-2,5-dimethoxyphenethylamine (2C-B) is a designer drug. In Europe, 2C-B is easily obtained and used for recreational purposes. It is known for its stimulating effects similar to those of 3,4-methylenedioxymethamphetamine, although in higher doses it has more hallucinogenic effects. Here, we report a case of 2C-B ingestion, confirmed by liquid chromatography-tandem mass spectrometry, in an 18-year-old man. The neurological consequences were severe, including the development of serotonin syndrome and severe brain edema. Supportive therapy resulted in a stable condition, although, after several months, the patient still suffered from severe neurological impairment due to the drug-induced toxicity. This case showed that 2C-B could not be identified with the drugs of abuse screening routinely used in Dutch hospitals. The use of 2C-B carries many risks, with potentially profound neurological damage, that both consumers and healthcare physicians are unaware of.

Indexed as

AdolescentBrain EdemaChromatography, LiquidDesigner DrugsDimethoxyphenylethylamineHumansMaleSeizuresSerotonin SyndromeSubstance-Related DisordersTandem Mass SpectrometryDesigner DrugsDimethoxyphenylethylamine2C-Bdesigner drugsforensic scienceintoxicationphenethylamineserotonin syndrome

Identifiers

PMID31643086
PMCPMC6900031

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.