Abstract
Background:
Genital self-mutilation is a well-known phenomenon in patients with schizophrenia and has occasionally been described in patients with personality disorders or transsexuality. However, literature just provides few cases of genital self-mutilation related to the use of psychotropic substances.
Case description:
A previously mentally healthy man (age, 32 years) performed manual amputation of both testes after first use of lysergic acid diethylamide in combination with alcohol consumption. Follow-up examination 6 month after the event did not reveal the development of a psychiatric disorder.
Conclusions:
This report shows that a first and single use of lysergic acid diethylamide in combination with alcohol can cause intoxication with dramatic consequences.
MeSH terms
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Adult
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Alcohol Drinking / psychology
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Amputation, Traumatic / etiology*
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Amputation, Traumatic / psychology
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Amputation, Traumatic / surgery
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Delirium / etiology
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Delirium / psychology
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Hallucinogens / administration & dosage
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Hallucinogens / adverse effects
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Humans
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Lysergic Acid Diethylamide* / administration & dosage
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Lysergic Acid Diethylamide* / adverse effects
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Male
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Psychiatric Status Rating Scales
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Psychoses, Substance-Induced* / complications
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Psychoses, Substance-Induced* / diagnosis
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Psychoses, Substance-Induced* / psychology
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Self Mutilation* / etiology
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Self Mutilation* / psychology
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Self Mutilation* / surgery
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Substance Abuse Detection
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Testis / injuries*
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Treatment Outcome
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Urologic Surgical Procedures, Male / methods
Substances
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Hallucinogens
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Lysergic Acid Diethylamide