At a rave, a 19-year-old woman ate what her doctors later described as "small, rounded chocolate chips containing unidentified pills." About three hours later, she developed severe chest and back pain radiating to her left shoulder, palpitations, confusion, incoherent speech, and a surge of energy that kept her from sleeping.
Doctors at the American University of Beirut Medical Center in Lebanon found she had a rare reversed form of stress-induced heart muscle injury. After she recovered enough to go home, she came back with blood clots blocking arteries in her abdomen and pelvis. Her case report in Clinical Practice and Cases in Emergency Medicine was published online in November 2025.
