RT Journal
T1 SEvere methemoglobinemia and hemolytic anemia from aniline purchased as 2c-e (4-ethyl-2, 5-dimethoxyphenethylamine), a recreational drug, on the internet—oregon, 2011
JF JAMA
JO JAMA
YR 2012
FD May 2
VO 307
IS 17
SP 1793
OP 1795
DO 
UL http://dx.doi.org/
AB 
In August 2011, two men in Oregon drank a liquid they believed to be 2C-E (4-ethyl-2, 5-dimethoxyphenethylamine), a psychoactive stimulant used as a recreational drug, after purchasing it on the Internet. Fifteen minutes after ingestion, the men became cyanotic and subsequently were treated for refractory methemoglobinemia and hemolytic anemia. The Oregon Poison Center, Oregon Public Health Division, Drug Enforcement Administration (DEA), and Food and Drug Administration (FDA) jointly investigated to determine the cause of the poisoning and identify other cases. The Oregon Poison Center and Oregon Public Health Division promptly alerted health-care providers and public health agencies and searched for additional cases. DEA confiscated all product remaining in the men's possession, and FDA identified the substance as aniline, an industrial solvent known to cause methemoglobinemia. One patient reported purchasing the substance from the Internet site of a Chinese chemical company. No additional cases were identified by investigators. Purchase of chemicals from unregulated Internet sources poses a serious risk to purchasers from product contamination and substitution.