A 27-year-old man presented with altered mental status and unilateral right lower limb swelling. Brain imaging and cerebrospinal fluid analysis were unremarkable. He reported history of nitrous oxide misuse after he recovered from his delirium. The diagnosis of drug induced psychosis was made. The right lower limb swelling was found to be due to extensive deep vein thrombosis. In another case,...
Clinical medicineMay 4, 2021M. Tanti, J. Cosgrove, Charles Kelleher et al.
BACKGROUND Novel psychoactive substances (NPS) are a growing public health concern. We aimed to identify the acute neurological consequences of NPS. METHOD We performed a retrospective case-note review of patients who presented to the emergency department after taking NPS. RESULTS We identified 237 admissions from 190 patients, mostly young men. There were high rates of psychiatric comorbidity...