According to Dr. Nguyen Trung Nguyen, Director of the Poison Control Center (Bach Mai Hospital), the female patient had a history of using e-cigarettes six months prior.
Approximately four days prior to hospitalization, the patient consistently felt as if someone was watching them and talking in their head. Upon admission, the patient exhibited tremors, sweating, irregular heartbeat, and mental disturbances.

The patient brought in two e-cigarette products; one sample contained two synthetic drugs (ADB - Butinaca, MDMB - Butinaca), and the other contained three substances (ADB-4-en-Pinaca, MDMB-4-en-Pinaca, EDMB-4-en-Pinaca); two of these substances were new and were recorded for the first time at the Poison Control Center (Bach Mai Hospital).
Another case currently being treated at the Poison Control Center is a 22-year-old male patient, TVH, from Thai Binh province. He was admitted with cyanosis, convulsions, incoherent speech, paranoia, insomnia, hallucinations, complete anuria, multi-organ damage, and a risk of cardiac arrest.
According to the patient's family, H works in Ho Chi Minh City. Recently, H bought and used an e-cigarette called Ampire Chill for over 600,000 VND; some days he smoked 3-4 devices. For 10 consecutive days, H couldn't sleep and exhibited delusional behavior, believing he was being manipulated by others, even threatening to kill his father and younger brother.

Test results revealed the presence of four synthetic drugs in the e-cigarette liquid sample used by patient H: MDMB-4 en-Pinaca, MDMB-Chminaca, ADB-4 en-Pinaca, and ADB-Binaca.
This is also the first time the Poison Control Center has received a sample of an e-cigarette from a patient that contained up to four narcotic substances, whereas normally just one substance is enough to endanger the life and cause brain damage to the user.
Currently, after 4 days of treatment, although H is out of critical condition, he remains in a coma, requires mechanical ventilation, and has suffered severe brain damage.
Based on the cases mentioned above, Dr. Nguyen Trung Nguyen warns that the common characteristic of new-generation drug poisoning cases is a very severe condition with symptoms such as convulsions, agitation, restlessness, hallucinations, uncontrollable behavior, brain damage, and damage to many other organs.
Notably, drug tests on e-cigarettes previously only detected one substance, not a mixture of 3-4 substances as seen recently. When e-cigarettes are mixed with foreign substances, stimulants, or drugs, the consequences are unpredictable and can lead to heartbreaking repercussions, especially since the majority of users are young people and students.
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