GHB addiction and withdrawal in a 23-year-old

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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