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Quin GI, McCarthy GM, Harries DK. 
“Spontaneous pneumomediastinum and ecstasy abuse”. 
J Accid Emerg Med. 1999 Sep;16(5):382.
A 25 year old man attended the accident and emergency department complaining of ante-riorpleuritic chest pain. Fourteen hours previously he had ingested three ecstasy tablets and danced for several hours. There was no history of trauma or vomiting. Clinical examination suggested pneumomediastinum and this was confirmed on chest radiography.
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