Bertholee Daphne, ter Horst Peter G J, Wieringa André, Smit Jan Pieter
Isala klinieken, Zwolle.
Ned Tijdschr Geneeskd. 2013;157(51):A6676.
Weight-loss products, which are freely available in some other countries and on the Internet, may be contaminated with ingredients not mentioned on the label.
We describe a 43-year-old woman who presented to the emergency ward of our hospital after stabbing herself in the stomach with a knife, because of severe psychosis. A few days after admission her symptoms were completely gone and there were no longer signs of psychosis. The most likely explanation for the psychosis was the use of sibutramine-contaminated weight-loss coffee (Brazil Potent Slimming Coffee).
Brazil Potent Slimming Coffee and possibly also other weight-loss products may be contaminated with sibutramine and as a result cause severe adverse reactions. It is always important to consider intoxication due to the use of herbal supplements and other OTC products in the differential diagnosis.
在其他一些国家及互联网上可随意获取的减肥产品，可能被标签上未提及的成分污染。
我们描述一名43岁女性，因严重精神病用刀刺伤自己腹部后被送至我院急诊病房。入院几天后她的症状完全消失，不再有精神病迹象。精神病最可能的原因是使用了含西布曲明的减肥咖啡（巴西强效瘦身咖啡）。
巴西强效瘦身咖啡以及其他减肥产品可能被西布曲明污染，进而导致严重不良反应。在鉴别诊断中，考虑使用草药补充剂和其他非处方药导致中毒始终很重要。
