Cutlip Hunter A, Bushman Ella, Thottumari Lisa, Mogallapu Raja, Ang-Rabanes Michael
Psychiatry, West Virginia University School of Medicine, Martinsburg, USA.
Cureus. 2021 Jun 30;13(6):e16073. doi: 10.7759/cureus.16073. eCollection 2021 Jun.
This case report details a patient with a complex medical history who was brought for psychiatric evaluation. An abrupt switch in Kratom use patterns was identified as the most likely causative factor of his symptoms. Adrenal insufficiency and posttraumatic stress disorder (PTSD) were considered both in the differential and potential confounding factors in his presentation. This paper discusses current Kratom use trends in the United States, the drug's legal status, and the common reasons patients may use it. Additionally, research gaps regarding the safety and efficacy of Kratom's use for self-medication are addressed.
本病例报告详细介绍了一名有复杂病史的患者,该患者被送去进行精神科评估。发现 kratom 使用模式的突然转变是其症状最可能的致病因素。肾上腺功能不全和创伤后应激障碍(PTSD)在其症状表现的鉴别诊断和潜在混杂因素中均被考虑。本文讨论了美国目前的 kratom 使用趋势、该药物的法律地位以及患者使用它的常见原因。此外,还探讨了关于 kratom 用于自我治疗的安全性和有效性方面的研究空白。