Skip to content

Chronic ketamine use associated with progressive multisystem organ dysfunction.

Cocoa Mudgal, H J Bodansky

BMJ Case Reports July 8, 2026 DOI: 10.1136/bcr-2026-273088 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case study Case report Peer reviewed
Sample size 1
Population A man in his 30s with 15 years of heavy recreational ketamine use
Duration 15 years
Topics Esketamine Ketamine
Keywords Common bile duct Poisoning Renal system
Key findings Chronic ketamine misuse can cause cumulative multisystem toxicity involving the urinary tract, bile ducts, heart, and mood.

Abstract

A man in his 30s developed progressive multisystem organ dysfunction following 15 years of heavy recreational ketamine use. Complications included ketamine cystitis, cholangiopathy, obstructive uropathy, cardiomyopathy and mood disorder. This case illustrates chronic ketamine misuse as a cumulative multisystem toxicity.

Comparable studies

Other case reports and case series on ketamine, most cited first.

Study Year Design Participants
The destruction of the lower urinary tract by ketamine abuse: a new syndrome? Young recreational abusers of street-ketamine in Hong Kong referred to urology units 2008 Retrospective case series n = 59
Electroconvulsive Therapy, Ketamine, and Esketamine in a Patient with Major Depressive Disorder and Multiple Comorbidities: A Case Report over 10-year Treatment from Adolescence to Adulthood. A patient with treatment-resistant depression and comorbid generalized anxiety... 2025 Case report n = 1
Treatment of compulsive behaviour in eating disorders with intermittent ketamine infusions Chronic and treatment-resistant eating disorder patients 1998 Case series n = 15
Oral Administration of the NMDA Receptor Antagonist S-Ketamine as Add-On Therapy of Depression: A Case Series Four depressed patients taking standard antidepressants 2009 Case series n = 4
A longitudinal case series of IM ketamine for patients with severe and enduring eating disorders and comorbid treatment‐resistant depression Patients with enduring eating disorders and treatment-resistant depression 2021 Case series n = 4

Citations in the library

Explore topics