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“神奇蘑菇”滥用后出现严重横纹肌溶解、急性肾衰竭及后部脑病。

Severe rhabdomyolysis, acute renal failure and posterior encephalopathy after 'magic mushroom' abuse.

作者信息

Bickel Markus, Ditting Tilmann, Watz Henrik, Roesler Alexander, Weidauer Stefan, Jacobi Volkmar, Gueller Saskia, Betz Christoph, Fichtlscherer Stephan, Stein Juergen

机构信息

Department of Internal Medicine (ICU), J.W. Goethe-University, Frankfurt, Germany.

出版信息

Eur J Emerg Med. 2005 Dec;12(6):306-8. doi: 10.1097/00063110-200512000-00011.

Abstract

We report the case of a 25-year-old, hepatitis C-infected man, who presented with severe rhabdomyolysis and acute renal failure, and later developed posterior encephalopathy with cortical blindness after the ingestion of magic mushrooms. Conventional respiratory and cardiovascular support including mechanical ventilation, continuous veno-venous hemodialysis and corticosteroids led to improvement and the patient recovered completely over the following months. Magic mushrooms are becoming increasingly fashionable among drug users, as they are believed to be more harmless than other hallucinogenic designer drugs. So far, little is known about their possible severe side effects.

摘要

我们报告了一名25岁丙型肝炎感染男性的病例,该患者出现严重横纹肌溶解和急性肾衰竭,在食用神奇蘑菇后出现伴有皮质盲的后部脑病。包括机械通气、持续静脉-静脉血液透析和皮质类固醇在内的常规呼吸和心血管支持使病情得到改善,患者在接下来的几个月里完全康复。神奇蘑菇在吸毒者中越来越流行,因为人们认为它们比其他致幻合成毒品危害更小。到目前为止,人们对其可能的严重副作用知之甚少。

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