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22-year-old woman is admitted from a night club with drowsiness, hallucinations and muscle rigidity. According to her friends she has taken some tablets that she purchased from a local dealer. A past admission 6 month earlier for bladder stones is noted. On examination her BP is 155/82 mmHg, pulse is 85/min and regular, temperature is 37.6oC. Her eyes are open but she does’nt respond to your questions. There is excessive salivation. On neurological examination you elicit bilateral increased tone with what appear to be involuntary tonic clonic movements.
Which of the following is the most likely cause of her symptoms?