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Clinical Case Reports

ISSN 2050-0904

9 papers in the library · 89 citations · publishing 2021-2024

Papers

A longitudinal case series of IM ketamine for patients with severe and enduring eating disorders and comorbid treatment‐resistant depression

Clinical Case Reports April 4, 2021 Terry Schwartz, Mary Ellen Trunko, David Feifel et al. 52 citations

Severe and enduring eating disorders carry the highest mortality rate of all psychiatric illnesses, especially when combined with treatment-resistant depression. Four patients with both conditions received repeated ketamine treatments over 12 or more months. Depression improved, but eating disorder symptoms changed only modestly.

Refractory CRPS pain treated with psilocybin: A case report

Clinical Case Reports September 1, 2024 David S Jevotovsky, Harman Chopra, Court Wing et al. 9 citations

A single patient with complex regional pain syndrome (CRPS) that did not respond to standard treatments experienced substantial pain relief and improved function after taking psilocybin. This case suggests psilocybin may be a promising therapy for refractory CRPS, but more research is needed to determine its effectiveness and the best dosage for chronic pain.

Suicidal cut‐throat wound during LSD intoxication

Clinical Case Reports November 27, 2021 Palash Kumar Bose, Debika Ray, Prodip Biswas et al. 8 citations

Lysergic acid diethylamide (LSD) is a potent hallucinogenic drug that alters mood and perception. Although self-inflicted cut-throat wounds and other self-harm injuries caused by LSD are extremely rare, recent reports indicate such behaviors are emerging, potentially complicating assessments in forensic psychiatry.

Long‐COVID symptoms improved after MDMA and psilocybin therapy: A case report

Clinical Case Reports May 28, 2024 Harman Chopra, Tim Furnish, Monica Verduzco-Gutierrez et al. 6 citations

A 41-year-old fully vaccinated woman with Long-COVID syndrome experienced significant symptom relief after self-medicating with psilocybin and MDMA. Long-COVID, a condition persisting after the acute phase of COVID-19, currently lacks effective holistic treatments. This case suggests potential benefit from these substances, but further research is required to evaluate their safety and efficacy.

A unique case of very low‐dose subcutaneous ketamine use: Maintenance option of ketamine for treatment‐resistant depression

Clinical Case Reports December 1, 2022 Adem T. Can, Daniel F. Hermens, Jim Lagopoulos 6 citations

A single patient with severe treatment-resistant depression received maintenance therapy with very low-dose subcutaneous ketamine, following initial improvement with intravenous ketamine. A retrospective chart review showed that this approach sustained the antidepressant response without significant side effects, suggesting a potential alternative maintenance strategy for patients who respond to intravenous ketamine but require ongoing treatment.

Sphincter of oddi dysfunction induced by ketamine: A case report.

Clinical Case Reports June 1, 2024 Nava Raj Sharma, Arjun Basnet, Saral Lamichhane et al. 4 citations

Chronic ketamine use can cause sphincter of Oddi dysfunction (SOD), leading to hepatobiliary complications such as cholestasis, biliary sepsis, and even death. A case of a 29-year-old woman with upper abdominal pain from SOD due to chronic ketamine abuse is presented. Ketamine induces SOD by activating muscarinic receptors in the sphincter of Oddi, obstructing or impairing bile and pancreatic ducts. Taking a detailed substance abuse history is crucial for early identification of ketamine-induced SOD. Early treatment can prevent permanent liver and pancreas damage.

Psychedelic‐assisted therapy for palliative care within a home treatment setting: A case report

Clinical Case Reports August 30, 2024 Seragnoli Federico, Martignoni Geo, Martignoni Entela et al. 3 citations

A patient with throat cancer and severe existential distress safely received psychedelic-assisted therapy at home. The patient tolerated the intervention well and reported on measures of anxiety, depression, and distress. This single-case study aligns with previous findings suggesting that psychedelic-assisted therapy can be safely applied to potentially relieve existential distress in people with life-threatening conditions. Because this is one case, generalizations require caution; placebo effects, expectancy, and the natural course of illness may influence outcomes. Controlled trials are needed to confirm efficacy and safety in diverse settings.

MDMA("Ecstasy") abuse leading to delayed onset rhabdomyolysis: A case report and literature review.

Clinical Case Reports September 1, 2024 Swotantra Gautam, Aakash Neupane, Ivonne De La Hoz Molina et al. 1 citation

MDMA and cocaine can cause rhabdomyolysis that begins suddenly, but delayed-onset rhabdomyolysis also occurs and its underlying mechanisms are concerning. Early treatment improves outcomes; patients with such cases should be quickly transferred to and treated in hospitals with intensive care and kidney replacement therapy capabilities.

Improvement of depressive symptoms, after a suicide attempt, with dextromethorphan/bupropion combination treatment in a patient with treatment-resistant depression and psychiatric comorbidities.

Clinical Case Reports March 1, 2023 Bruno Pedraz-Petrozzi, Michael Deuschle, Maria Gilles

A 42-year-old patient with severe treatment-resistant depression and psychiatric comorbidities attempted suicide five weeks after hospital admission. After starting dextromethorphan/bupropion, her mood improved and suicide risk decreased, allowing discharge.