红色克拉和红色科尔维特:一个由克拉戒断引起的躁狂病例
Mohammmad Abidali1, Guitelle St Victor2, Shady Mashaly2
1Department of Internal Medicine, University of California, San Francisco-Fresno, CA, USA.
International journal of psychiatry in medicine
|September 6, 2024
概括
这一案例研究突出了一个罕见的急性躁狂病例,该病例发生在一个患有Kratom戒断的患者身上. 它强调了在突然停止使用克拉 (Mitragyna speciose) 后可能出现严重的神经精神症状的可能性.
科学领域:
- 药理学 药理学是指药理学的学科.
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 克拉 (Mitragyna speciose) 在美国越来越多地用于治疗阿片类药物戒断和疼痛.
- 它的活性化合物mitragynine和7-hydroxymitragynine,影响各种体内的受体.
- 与Kratom毒性相关的神经心理症状已被记录.
研究的目的:
- 报告了第一个由Kratom戒断引起的急性疯狂病例.
- 为了提高人们对与Kratom戒断相关的潜在精神疾病并发症的认识.
主要方法:
- 一份病例报告显示,一名56岁的男性表现出严重的焦虑和不稳定的行为.
- 评估包括精神病学咨询,以确定急性躁狂的原因.
- 诊断是在最近突然停止使用Kratom后进行的.
主要成果:
- 患者表现出严重的激动,不稳定的行为和攻击性.
- 克拉托姆戒断被确定为最可能导致急性躁狂的原因.
- 这代表了Kratom相关的神经精神病学影响的新呈现.
结论:
- 虽然众所周知,Kratom的毒性会引起神经精神症状,但急性戒断躁狂是前所未有的.
- 这一案例扩大了对Kratom潜在的不良精神病影响的理解.
- 临床医生应考虑在患有急性躁狂症的患者中撤销Kratom.
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