Archive for March, 2009

GHB addiction and withdrawal in a 23-year-old

March 31, 2009

Having lost consciousness on a bus, a 23-year-old woman presented to the Emergency Department. ghb Bystanders reported convulsions.  At the ED, the woman was too weak and too confused to answer questions, therefore taking a correct history was not possible. Her medical records showed substance abuse: cocaine, cannabis, amphetamines, crack and GHB. At time of presentation at the ED, she was awake, but with diminished consciousness and incoherent thoughts, which was scored as a Glasgow Coma Score (GCS) of 14. Except for tachycardia, vital signs and electrocardiography were normal.

She was diagnosed with GHB intoxication and admitted to the medical ward for observation because her consciousness was still slightly lowered. That evening, she became very agitated, had hallucinations and recognized nobody except for her boyfriend.

How easy is it to diagnose GHB addiction and withdrawal? What treatment course would you recommend? See how this case progressed and the outcome by reading the case report in full. GHB use is reportedly on the increase, yet there have been few case reports on the clinical implications of this street narcotic. If you have experience of this in the clinic and would like to publish a case report, then view out our instructions for authors.


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March 30, 2009

twitter_logoTo go hand in hand with our blog, we also highlight the best case reports and share our news on Twitter.  Follow us!

We’re back!

March 27, 2009

After a short break from the blogosphere, Cases Network is back. You may have noticed that during this time that a few things have changed around our journal websites.  Since the sale of BioMed Central to Springer Science+Business Media, we are now a totally independant publisher.  Richard Smith, Cases J EiC, explains what this means for us and you in his editorial, “Cases Network: we need you for the next stage”.

We have lots to tell you about the improvements we have been making and our forthcoming plans for 2009 – for now, bookmark this page so you can keep up-to-date with Cases Network!