''Designer drugs'' are derivatives of approved drugs abused for recrea
tional effect and created by underground laboratories to circumvent le
gal restriction. By far the most controversial drug has been MDMA (3,4
-methylenedioxymethamphetamine) and the newer derivative MDEA (3,4-met
hylenedioxyethamphetamine) often called ''Eve''. MDEA-related deaths h
ave not been reported in the US, but there have been a death of MDMA a
nd MDEA severe poisonings. Convulsions, collapse, hyperpyrexia, dissem
inated intravascular coagulation rhabdomyolysis, and acute liver and r
enal damage result from the ingestion of the drug. Complications may o
ccur and severity and death possibly result. The case of a 31-y-old ma
le, the first victim of MDEA in Greece, is reported. Blood MDEA was 3.
1 mu g/ml; MDEA concentrations in liver, lung and kidney were 4.8, 5.2
, and 4.8 mu g/g respectively.