시부트라민(sibutramine) 음독 후 발생된 급성 정신병증 1례

A Case of Acute Psychosis after Sibutramine Ingestion

  • 김형민 (가톨릭대학교 의과대학 응급의학교실) ;
  • 우선희 (가톨릭대학교 의과대학 응급의학교실) ;
  • 최세민 (가톨릭대학교 의과대학 응급의학교실) ;
  • 소병학 (가톨릭대학교 의과대학 응급의학교실)
  • Kim, Hyung-Min (Department of Emergency Medicine, College of Medicine, The Catholic University of Korea) ;
  • Woo, Seon-Hee (Department of Emergency Medicine, College of Medicine, The Catholic University of Korea) ;
  • Choi, Se-Min (Department of Emergency Medicine, College of Medicine, The Catholic University of Korea) ;
  • So, Byung-Hak (Department of Emergency Medicine, College of Medicine, The Catholic University of Korea)
  • 발행 : 2009.12.31

초록

A 38-year-old woman was admitted to our hospital due to agitation, nausea, chest discomfort, tachycardia and hypertension 6h after ingesting approximately 60 capsules of sibutramine. The woman developed the clinical features of acute psychosis, including auditory hallucination, agitation and paranoid ideation, on day 2. No relevant changes were detected on the laboratory examinations or on the electrocardiogram throughout the period of hospitalization. She was treated with risperidone and benzodiazepine. The symptoms subsequently resolved completely with cessation of the provoking agent. The patient was discharged on day 7 and the follow-up revealed no sequelae for 5 months.

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