A case of persistent refractory hypoglycemia from polysubstance recreational drug use

Jie Er Janice Soo, Mingwei Ng, Terence Kee Liem Chong, Boon Kiat Kenneth Tan, R Ponampalam

Table 1. Toxicological report

Drugs Remarks Serum sample Amphetamine 0.07 μg/mL Eutylone Detected Hydoxymidazolam Detected Lignocaine 0.23 μg/mL Methemphetamine 0.51 μg/mL Midazolam 0.02 μg/mL Paracetamol <10 μg/mL Sildenafil Detected Other acidic & neutral drugs Not detected Other basic drugs panel Not detected Other benzodiazepine/hypnotics & opioids Not detected Urine analysis ADB-BUTINACA hydroxybutyl metabolite Detected Amphetamine Detected