Xiaowen Sylvia Wang, Gregory Rose, Rick Peter Fritz Wolthusen
{"title":"Psychosis and Delirium as Manifesting Symptoms of Chronic and Heavy Nitrous Oxide Use in a 37-Year-Old Samoan Male Patient: A Case Report.","authors":"Xiaowen Sylvia Wang, Gregory Rose, Rick Peter Fritz Wolthusen","doi":"10.1097/PRA.0000000000000856","DOIUrl":null,"url":null,"abstract":"<p><p>Nitrous oxide (N2O) is a clear gas used in the food industry as well as in clinical settings as an analgesic and anesthetic agent. It is also a commonly used recreational drug due to its anxiolytic and euphoric effects. We discuss the case of a 37-year-old Samoan male with a long-standing history of N2O use who was brought to the emergency department for psychotic symptoms, which expanded to symptoms of delirium soon after his presentation. This case report adds to the literature about N2O-induced psychiatric presentations, particularly by focusing on a patient from an underrepresented population. We outline his clinical presentation, describe the presenting physical and psychiatric symptoms, and discuss management options based on existing literature and knowledge. The patient's information is adequately de-identified in this case report.</p>","PeriodicalId":16909,"journal":{"name":"Journal of Psychiatric Practice","volume":"31 3","pages":"173-177"},"PeriodicalIF":1.3000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Psychiatric Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/PRA.0000000000000856","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Nitrous oxide (N2O) is a clear gas used in the food industry as well as in clinical settings as an analgesic and anesthetic agent. It is also a commonly used recreational drug due to its anxiolytic and euphoric effects. We discuss the case of a 37-year-old Samoan male with a long-standing history of N2O use who was brought to the emergency department for psychotic symptoms, which expanded to symptoms of delirium soon after his presentation. This case report adds to the literature about N2O-induced psychiatric presentations, particularly by focusing on a patient from an underrepresented population. We outline his clinical presentation, describe the presenting physical and psychiatric symptoms, and discuss management options based on existing literature and knowledge. The patient's information is adequately de-identified in this case report.
期刊介绍：
Journal of Psychiatric Practice® seizes the day with its emphasis on the three Rs — readability, reliability, and relevance. Featuring an eye-catching style, the journal combines clinically applicable reviews, case studies, and articles on treatment advances with practical and informative tips for treating patients. Mental health professionals will want access to this review journal — for sharpening their clinical skills, discovering the best in treatment, and navigating this rapidly changing field.
Journal of Psychiatric Practice combines clinically applicable reviews, case studies, and articles on treatment advances with informative "how to" tips for surviving in a managed care environment.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
