Cardiac arrest in a young healthy male patient secondary to kratom ingestion: is this 'legal high' substance more dangerous than initially thought ?

Autor:	Abdullah HMA; Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA., Haq I; Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA., Lamfers R; Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2019 Jul 19; Vol. 12 (7). Date of Electronic Publication: 2019 Jul 19.
DOI:	10.1136/bcr-2019-229778
Abstrakt:	Kratom is a psychoactive herb that has stimulant properties at low doses and has opioid-like properties at higher doses. It has been used for centuries in southeast Asia as a stimulant but has gained increasing popularity as a substitute for opioids in western countries as it is easily available. As most cases of kratom use involve other drugs too, the Food and Drug Administration (FDA) has stopped short of restricting kratom due to difficulty in assessing the adverse effects of kratom alone. We present the case of a young healthy 35-year-old man who suffered a cardiac arrest due to kratom use with no other coingestants. He was subsequently intubated and found to have systolic dysfunction and small brain infarcts. Fortunately, he made a successful recovery and was discharged after a stay at thebehavioural health centre. Our case highlights the potential adverse effects of kratom and the need to regulate its use. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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