The First Case Report of Ketamine-Induced Cholangiopathy in Korea

Jae Sin Lee, Jong Yul Lee
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Abstract

Ketamine is an anesthetic agent for diagnostic and surgical procedures. However, it can produce dissociative anesthesia and induce hallucinations. Therefore, it tends to be abused as a recreational drug. Chronic ketamine use can cause numerous adverse effects including ketamine-induced chlangiopathy and ulcerative cystitis. Ketamineinduced cholangiopathy has been reported since the 1980s and most cases were found in Western countries and South Asia. Here, we report the first case of ketamineinduced cholangiopathy in Korea. Owing to increasing recreational drug use among Koreans, ketamine-induced cholangiopathy should be considered in the differential diagnosis in young patients with cholangitis of unknown etiology.
韩国首例氯胺酮诱发胆管炎病例报告
氯胺酮是一种用于诊断和外科手术的麻醉剂。不过,它能产生分离性麻醉并诱发幻觉。因此,氯胺酮往往被当作娱乐性药物滥用。长期使用氯胺酮可导致多种不良反应,包括氯胺酮诱发的胆道病和溃疡性膀胱炎。自20世纪80年代以来,氯胺酮诱发胆道病的报道就不断出现,大多数病例出现在西方国家和南亚。在此,我们报告了韩国首例氯胺酮诱发的胆道病。由于韩国人越来越多地使用娱乐性药物,因此在对病因不明的年轻胆管炎患者进行鉴别诊断时,应考虑氯胺酮诱发的胆管病变。
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