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大麻素呕吐综合征导致的复发性严重烧伤

Recurrent Severe Burns Due to Cannabinoid Hyperemesis Syndrome.

作者信息

Osagie Eugene, Mirza Omar

机构信息

Psychiatry, Harlem Hospital Center, New York, USA.

Psychiatry, Columbia University College of Physicians and Surgeons, Harlem Hospital Center, New York, USA.

出版信息

Cureus. 2023 Feb 2;15(2):e34552. doi: 10.7759/cureus.34552. eCollection 2023 Feb.

Abstract

Cannabinoid hyperemesis syndrome (CHS) is one of the health outcomes of cannabis use that is showing an increase in the number of reported cases since it first emerged in the medical literature. It is a condition that is now frequently seen by many specialists, including consultation-liaison psychiatrists. CHS is a diagnosis of exclusion that is characterized by the presence of a prolonged history of daily cannabis use, cyclic episodes of nausea and vomiting, and frequent compulsive hot baths. It will be fairly argued that with the surge in the number of marijuana users and frequency of use since the legalization of marijuana in the United States, a proportionate rise in CHS cases is expected over time. In this case report, we present a unique case of a 36-year-old female diagnosed with CHS, and the compensatory behavior of compulsive hot baths led to repeated episodes of severe burns, sepsis, and intensive care unit (ICU) hospitalizations. To the authors' knowledge, this is the first published case of severe burns and sepsis as complications of cannabinoid hyperemesis syndrome.

摘要

大麻素呕吐综合征(CHS)是大麻使用导致的健康问题之一,自首次出现在医学文献中以来,报告病例数呈上升趋势。现在,包括会诊联络精神科医生在内的许多专科医生都经常遇到这种情况。CHS是一种排除性诊断,其特征是有长期每日使用大麻的病史、周期性恶心和呕吐发作,以及频繁强迫性洗热水澡。可以合理地认为,自美国大麻合法化以来,随着大麻使用者数量和使用频率的激增,CHS病例数预计会随之成比例上升。在本病例报告中,我们呈现了一例独特的36岁女性被诊断为CHS的病例,强迫性洗热水澡的代偿行为导致反复出现严重烧伤、败血症,并多次入住重症监护病房(ICU)。据作者所知,这是首例将严重烧伤和败血症作为大麻素呕吐综合征并发症发表的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6132/9985428/c943fc77cd42/cureus-0015-00000034552-i01.jpg

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