Case Report: Cannabis and kratom-induced self-amputation of ears and penis.

IF 3.2 3区 医学 Q2 PSYCHIATRY
Frontiers in Psychiatry Pub Date : 2025-03-18 eCollection Date: 2025-01-01 DOI:10.3389/fpsyt.2025.1479863
Marek Broul, Xenia Rudenko, Adam Bajus, Jiří Král, Dan Mwemena Kyenge, Zdenka Staňková, Jakub Albrecht
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引用次数: 0

Abstract

This report describes the case of a 31-year-old male lumberjack with severe self-inflicted injuries, including the amputation of both auricles and the penis, under the influence of cannabinoids, mitragynine, and 7-hydroxymitragynine. Emergency surgery was performed, and psychiatric evaluation revealed substance-induced psychosis. The patient's motivation for reconstructive penile surgery led to abstinence from the substance use and cooperation with treatment. Five months after hospitalization, successful penile reconstruction was completed. The patient remained abstinent and was engaged in regular psychiatric follow-ups, showing no signs of acute psychopathology. This case underscores the importance of using a multidisciplinary approach to manage severe self-harm behaviors, and highlights the critical role of patient motivation in achieving positive outcomes.

病例报告:大麻和克拉通诱导的耳朵和阴茎自我截肢。
本报告描述了一名31岁男性伐木工人在大麻素、米特拉吉碱和7-羟基米特拉吉碱的作用下,严重自残,包括双耳和阴茎截肢的病例。进行了紧急手术,精神病学评估显示为药物性精神病。患者进行阴茎再造手术的动机是戒断药物使用和配合治疗。住院5个月后,成功完成阴茎重建。患者保持戒断,并定期进行精神病学随访,没有表现出急性精神病理的迹象。这个案例强调了使用多学科方法来管理严重自残行为的重要性,并强调了患者动机在取得积极结果中的关键作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Frontiers in Psychiatry
Frontiers in Psychiatry Medicine-Psychiatry and Mental Health
CiteScore
6.20
自引率
8.50%
发文量
2813
审稿时长
14 weeks
期刊介绍: Frontiers in Psychiatry publishes rigorously peer-reviewed research across a wide spectrum of translational, basic and clinical research. Field Chief Editor Stefan Borgwardt at the University of Basel is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. The journal''s mission is to use translational approaches to improve therapeutic options for mental illness and consequently to improve patient treatment outcomes.
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