Fatal fentanyl-associated cerebellitis in a young man

被引:0
|
作者
Simich, Sofia [1 ]
Muritala, Muhammed [1 ]
Li, Siu Fai [1 ,2 ]
机构
[1] Jacobi Med Ctr, Dept Emergency Med, Bronx, NY USA
[2] Jacobi Med Ctr, Dept Emergency Med, 1400 Pelham Pkwy South, Bronx, NY 10461 USA
来源
关键词
Fentanyl; Opioid; Toxicology; Cerebellitis; Hydrocephalus; Altered mental status;
D O I
10.1016/j.ajem.2022.09.034
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
A 22-year-old man was brought in by EMS for coma and respiratory failure. The initial diagnosis was an opioid overdose but the patient did not respond to naloxone. A head CT revealed findings consistent with cerebellitis. The patient developed obstructive hydrocephalus and herniation. Despite neurosurgical and ICU care, the patient did not recover. Cerebellitis is a seldom-discussed complication of opioid use which may become more common as the opioid and fentanyl epidemic evolves. (c) 2022 Elsevier Inc. All rights reserved.
引用
收藏
页码:178.e1 / 178.e3
页数:3
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