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Case Report

Cannabis and kratom-induced self-amputation of ears and penis

Bibliographic Data

ID15520470
AuthorsMarek Broul (0000-0002-5652-1652, Jan Evangelista Purkyně University in Ústí nad Labem, corresponding author), Xenia Rudenko (Krajská Zdravotní), Adam Bajus (Krajská Zdravotní), Jiri Kral (0000-0002-6442-8554), Julia Barbara Kral (Krajská Zdravotní), Dan Mwemena Kyenge (Krajská Zdravotní), Zdenka Staňková (Krajská Zdravotní), Jakub Albrecht (0000-0003-4105-9212, Krajská Zdravotní)
Year2025
Volume16
Pages1479863-1479863
Publication date2025-03-18
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2025.1479863
PMID40171304
OpenAlexW4408579388
LanguageEN
References cited12

This report describes the case of a 31-year-old male lumberjack with severe self-inflicted injuries, including the amputation of both auricles and the penis, under the influence of cannabinoids, mitragynine, and 7-hydroxymitragynine. Emergency surgery was performed, and psychiatric evaluation revealed substance-induced psychosis. The patient's motivation for reconstructive penile surgery led to abstinence from the substance use and cooperation with treatment. Five months after hospitalization, successful penile reconstruction was completed. The patient remained abstinent and was engaged in regular psychiatric follow-ups, showing no signs of acute psychopathology. This case underscores the importance of using a multidisciplinary approach to manage severe self-harm behaviors, and highlights the critical role of patient motivation in achieving positive outcomes

Amputation · Cannabis · Penis · Psychiatry · Alkaloids: synthesis and pharmacology · Berberine and alkaloids research · Medicine · Psychedelics and Drug Studies · Psychology · Surgery

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