Case 10 Status Epilepticus Following Recreational Drug Insufflation

A 21-year-old male presented to the emergency department in status epilepticus. He was hyperthermic, tachycardic, and hypertensive with hyperreflexia and clonus. Laboratory workup revealed a metabolic acidosis with associated hyperlactatemia. He was admitted to the intensive care unit where he was sedated, mechanically ventilated, and externally cooled. His hospital course was complicated by an aspiration pneumonia and rhabdomyolysis but he fully recovered.