Acute Psychosis in Withdrawal from Nicotine Vaping in a Young Man with Comorbid Diabetic Ketoacidosis and Cannabis Use
Electronic delivery of nicotine, also termed “vaping,” has a growing evidence base suggesting potential harm through both exposure and withdrawal effects. The current report presents the case of a young man with multiple medical comorbidities, including insulin-dependent diabetes mellitus on an insu...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Psychiatry |
| Online Access: | http://dx.doi.org/10.1155/2020/5710810 |
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| author | Kyle J. Rutledge Dianne L. Plath |
| author_facet | Kyle J. Rutledge Dianne L. Plath |
| author_sort | Kyle J. Rutledge |
| collection | DOAJ |
| description | Electronic delivery of nicotine, also termed “vaping,” has a growing evidence base suggesting potential harm through both exposure and withdrawal effects. The current report presents the case of a young man with multiple medical comorbidities, including insulin-dependent diabetes mellitus on an insulin pump and presumed Gilbert’s disease, and chronic cannabis use who experienced acute agitation with hallucinations in the context of quitting his vape pen “cold turkey” or abruptly discontinuing use without a nicotine replacement. While undergoing hospitalization for his complaint of nausea and vomiting in the context of euglycemic diabetic ketoacidosis and cannabis use, his psychotic symptoms became evident and continued until beginning a nicotine replacement patch. A few months later, the patient returned to the hospital again for nausea and vomiting in the context of euglycemic diabetic ketoacidosis and reported cannabis use, however this time without psychosis, and notably after resuming and continuing use of e-cigarette with nicotine replacement delivered on admission. This is the first reported case of acute psychosis related to abrupt vaping withdrawal and adds to the plethora of information regarding potential risks associated with electronic cigarette use. |
| format | Article |
| id | doaj-art-93ea6b82e6a0479e84239e7c02ba2a06 |
| institution | Kabale University |
| issn | 2090-682X 2090-6838 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Psychiatry |
| spelling | doaj-art-93ea6b82e6a0479e84239e7c02ba2a062025-02-03T01:04:48ZengWileyCase Reports in Psychiatry2090-682X2090-68382020-01-01202010.1155/2020/57108105710810Acute Psychosis in Withdrawal from Nicotine Vaping in a Young Man with Comorbid Diabetic Ketoacidosis and Cannabis UseKyle J. Rutledge0Dianne L. Plath1Central Michigan University College of Medicine, Department of Psychiatry, 1000 Houghton Ave, Saginaw MI 48602, USACentral Michigan University College of Medicine, Department of Psychiatry, 1000 Houghton Ave, Saginaw MI 48602, USAElectronic delivery of nicotine, also termed “vaping,” has a growing evidence base suggesting potential harm through both exposure and withdrawal effects. The current report presents the case of a young man with multiple medical comorbidities, including insulin-dependent diabetes mellitus on an insulin pump and presumed Gilbert’s disease, and chronic cannabis use who experienced acute agitation with hallucinations in the context of quitting his vape pen “cold turkey” or abruptly discontinuing use without a nicotine replacement. While undergoing hospitalization for his complaint of nausea and vomiting in the context of euglycemic diabetic ketoacidosis and cannabis use, his psychotic symptoms became evident and continued until beginning a nicotine replacement patch. A few months later, the patient returned to the hospital again for nausea and vomiting in the context of euglycemic diabetic ketoacidosis and reported cannabis use, however this time without psychosis, and notably after resuming and continuing use of e-cigarette with nicotine replacement delivered on admission. This is the first reported case of acute psychosis related to abrupt vaping withdrawal and adds to the plethora of information regarding potential risks associated with electronic cigarette use.http://dx.doi.org/10.1155/2020/5710810 |
| spellingShingle | Kyle J. Rutledge Dianne L. Plath Acute Psychosis in Withdrawal from Nicotine Vaping in a Young Man with Comorbid Diabetic Ketoacidosis and Cannabis Use Case Reports in Psychiatry |
| title | Acute Psychosis in Withdrawal from Nicotine Vaping in a Young Man with Comorbid Diabetic Ketoacidosis and Cannabis Use |
| title_full | Acute Psychosis in Withdrawal from Nicotine Vaping in a Young Man with Comorbid Diabetic Ketoacidosis and Cannabis Use |
| title_fullStr | Acute Psychosis in Withdrawal from Nicotine Vaping in a Young Man with Comorbid Diabetic Ketoacidosis and Cannabis Use |
| title_full_unstemmed | Acute Psychosis in Withdrawal from Nicotine Vaping in a Young Man with Comorbid Diabetic Ketoacidosis and Cannabis Use |
| title_short | Acute Psychosis in Withdrawal from Nicotine Vaping in a Young Man with Comorbid Diabetic Ketoacidosis and Cannabis Use |
| title_sort | acute psychosis in withdrawal from nicotine vaping in a young man with comorbid diabetic ketoacidosis and cannabis use |
| url | http://dx.doi.org/10.1155/2020/5710810 |
| work_keys_str_mv | AT kylejrutledge acutepsychosisinwithdrawalfromnicotinevapinginayoungmanwithcomorbiddiabeticketoacidosisandcannabisuse AT diannelplath acutepsychosisinwithdrawalfromnicotinevapinginayoungmanwithcomorbiddiabeticketoacidosisandcannabisuse |