Abstract：
Psychoactive substances are a diverse group of chemical substances that are ever-evolving structurally. Novel psychoactive substances are being reported in and are becoming increasingly popular in East and Southeast Asia, with synthetic cathinones becoming the drugs of choice. The use of synthetic cathinones has increased significantly over the years. However, the easy accessibility of these substances and their potentially damaging health effects have raised many concerns. Herein, we present the case of a patient who ingested mixed synthetic cathinones and eventually developed acute myocarditis and subsequent psychotic symptoms. The delayed presentation of psychosis coupled with initial cardiovascular symptoms was a unique phenomenon, making differential diagnosis challenging. The association between the use of synthetic cathinones and psychosis and myocarditis should be explored in view of the lack of relevant clinical data and potentially dire outcomes.
摘要：
精神活性物质是一组多样化的化学物质，在结构上不断发展。新的精神活性物质在东亚和东南亚有报道，并且越来越受欢迎，合成卡西酮成为首选药物。多年来，合成卡西酮的使用显着增加。然而,这些物质的易得性及其潜在的有害健康影响引起了许多关注。在这里，我们介绍了一例患者摄入了混合合成卡西酮，最终出现急性心肌炎和随后的精神病症状。精神病的延迟出现加上最初的心血管症状是一个独特的现象，使鉴别诊断具有挑战性。鉴于缺乏相关临床数据和潜在的可怕结局，应探讨使用合成卡西诺与精神病和心肌炎之间的关联。
