Ayahuasca是一种源自南美的迷幻混合物,已被当地部落在仪式仪式中使用了数百年。在过去的几十年里,它的用法已扩展到北美的各种正念静修,可以从其致幻特性中受益。在这个案例报告中,我们的病人参加了一个撒旦的仪式,在那里他在三天内消耗了大量的Ayahuasca。当他回来时,他继续出现恶魔性幻觉和妄想症,并伴有越来越多的恶心和呕吐。由于自杀想法,他被急救人员带进来,抵达后不久,他对癫痫样活动反应迟钝。患者被评估为昏迷,格拉斯哥昏迷量表(GCS)评分为3分,并且在固定气道后,被转移到重症监护病房.实验室检查结果显示1例低渗性低钠血症继发于抗利尿激素分泌不当综合征(SIADH),在支持性护理之后,他在入院后四天内康复。我们推测,由于Ayahuasca活性化合物的药效学相似,以及单胺氧化酶抑制剂(MAOI)和3,4-亚甲二氧基甲基苯丙胺(MDMA)等药物,它可能会导致其用户的SIADH。
Ayahuasca is a psychedelic blend originating from South America that has been used for hundreds of years by local tribes in ritualistic ceremonies. For the last few decades, its usage has expanded to North America in various mindfulness retreats that can benefit from its hallucinogenic properties. In this
case report, our patient had attended a satanic ritual where he had consumed copious amounts of
Ayahuasca over three days. Upon his return, he continued having demonic hallucinations along with paranoid delusion with increasing bouts of nausea and vomiting. He was brought in by first responders due to suicidal ideations, and shortly after arrival, he became unresponsive with seizure-like activity. The patient was evaluated to be comatose with a Glasgow Coma Scale (GCS) score of 3, and upon securing the airway, was transferred to the critical care unit. Laboratory results showed a
case of hypoosmolar hyponatremia secondary to syndrome of inappropriate antidiuretic hormone secretion (SIADH), and following the supportive care, he was able to recover within four days of admission. We theorize that due to the similarity in the pharmacodynamics of the active compound of
Ayahuasca, and drugs such as monoamine oxidase inhibitors (MAOI) and 3,4-methylenedioxymethamphetamine (MDMA), it can result in SIADH in its users.