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惩教设施中与饮用“普洛诺”(监狱自制酒精饮料)相关的横纹肌溶解症:一例报告

Rhabdomyolysis Associated With "Pruno" Prison-Made Alcohol Intake in Corrections Facility: A Case Report.

作者信息

Soares Mary H, Izquierdo-Pretel Guillermo, Ramesar Lauren A

机构信息

Medicine, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.

Internal Medicine, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.

出版信息

Cureus. 2022 Oct 31;14(10):e30933. doi: 10.7759/cureus.30933. eCollection 2022 Oct.

Abstract

In this study, a case of severe rhabdomyolysis in a 28-year-old incarcerated patient is presented. The patient initially presented with emesis, abdominal pain, and myalgias to the clinic at the corrections facility and was treated with antiemetics and analgesics. The onset of symptoms occurred approximately 24 h after ingestion of an illicit substance produced by inmates. Despite intervention, the patient was eventually transferred to the hospital on the third day after symptom onset for further evaluation and treatment. The manuscript presents the events that preceded the diagnosis of rhabdomyolysis, as well as symptoms of hyperactive delirium that developed during the patient's hospital course, leading to the high suspicion of illicit substance intoxication as a contributing inciting factor of rhabdomyolysis. This study aimed to bring awareness to the medical community about substance use in the correction system and its consequences.

摘要

本研究报告了一名28岁在押患者发生严重横纹肌溶解症的病例。该患者最初因呕吐、腹痛和肌痛前往惩教机构的诊所就诊,接受了止吐药和镇痛药治疗。症状发作于摄入囚犯自制的非法物质约24小时后。尽管进行了干预,但患者在症状发作第三天最终被转至医院进行进一步评估和治疗。本文描述了横纹肌溶解症诊断之前的事件,以及患者住院期间出现的谵妄躁动症状,这使得人们高度怀疑非法物质中毒是导致横纹肌溶解症的一个诱发因素。本研究旨在提高医学界对惩教系统中药物使用情况及其后果的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/303c/9710961/130e61f0ef52/cureus-0014-00000030933-i01.jpg

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