Historique
Article de Périodique
Excited delirium following use of synthetic cathinones (bath salts) (2012)
Auteur(s) :
PENDERS, T. M. ;
GESTRING, R. E. ;
VILENSKY, D. A.
Année
2012
Page(s) :
647-650
Sous-type de document :
Etude de cas / Case report
Langue(s) :
Anglais
Domaine :
Autres substances / Other substances ; Drogues illicites / Illicit drugs
Discipline :
PRO (Produits, mode d'action, méthode de dépistage / Substances, action mode, screening methods)
Thésaurus mots-clés
DROGUES DE SYNTHESE
;
TROUBLE BIPOLAIRE
;
ETUDE DE CAS
;
CATHINONES
;
CONFUSION MENTALE
;
PSYCHOSE
;
NEUROBIOLOGIE
;
EFFET SECONDAIRE
;
SYMPTOME
Thésaurus géographique
ETATS-UNIS
Note générale :
"Overdoses aux nouvelles drogues de synthèse : un défi pour les réanimateurs", P. Harrison, A. Lecrubier, Medscape France, 28.12.2012 : http://www.medscape.fr/humeur/articles/1491995/
Résumé :
Synthetic analogs of the cathinone molecule have seen increasing recreational use as substitutes for cocaine, 3,4-methylenedioxymethamphetamine (ecstasy) and methamphetamine. Repeated use of these drugs is associated with a paranoid hallucinatory delirium. A subset of patients using these substances develops a syndrome of extreme agitation and violent behavior that has been reported following the use of other stimulant drugs that also produce rapid changes in brain monoamines. This syndrome, characterized as "excited delirium," presents to the acute care setting with a challenging combination of paranoia, severe agitation and violent behavior. These patients frequently suffer from dehydration, skeletal muscle damage and renal failure that may lead to multiorgan failure and death. Management of these individuals requires careful consideration of the consequences of interventions commonly implemented in medical settings to control dangerous aggressive behavior. (C) 2012 Elsevier Inc. All rights reserved.
Affiliation :
Department of Psychiatric Medicine, Brody School of Medicine, East Carolina University, Greenville, NC 27834, USA