A recent traffic fatality has been attributed to the use of the drug methylenedioxymethamphetamine (MDMA). The deceased was a 29-year-old white male with no known history of drug abuse. Toxicological analysis detected MDMA and metabolite methylenedioxyamphetamine (MDA) in the blood, urine, and vitreous humor specimens submitted for analysis. The concentrations of MDMA in clotted blood, sodium fluoride-potassium oxalate anticoagulated blood, vitreous humor, and urine were 2.32 mg/L, 2.14 mg/L, 1.11 mg/L, and 118.8 mg/L, respectively. The concentrations of the metabolite MDA were less than 0.25 mg/L in blood and vitreous, and 3.86 mg/L in the urine.