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We recently attended a wel grown 15 year old girl who presented with a Glascow Coma Scale score of 3 after an evening of bourbon and ecstasy (MDMA or Methylenedioxymethamphetamine) ingestion. The ecstasy was stronger than usual. She developed rhabdomyolysis with CKs of 100,000 U/L. She also developed some renal embarassment with creatinine to 190 umol/L and some hepatic injury as well. She is good now. Laughing and joking. My question has to do with a Troponin T (NR: <0.03) of 0.15 ug/L obtained at about 60 hours while the CK was still 60,000 U/L. No myoglobin measured. She has had no evidence of cardiac injury by rhythm, ECG, symptoms, or physical signs. No cardiac ultrasound undertaken. I expect that all of this TnT is skeletal TnT not cardiac TnT. What do you reckon? Thanks. Michael P Metz BS, MD, FAAP, MAACB, FRCPA Chemical Pathologist Division of Laboratory Medicine Women's & Children's Hospital 72 King William Road North Adelaide, South Australia 5006 phone: 08 8161 7483 mobile: 0421 098 430 e-mail: [log in to unmask] ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/