Sickle Cell Patient and Addiction to Tramadol: Case Management in Senegal

• 作者: Abou Sy Ba Binta Diallo Aissatou Jean Augustin Diegane Tine Safiyah Benmansour Samba Oumar Mamadou Taiwo Lateef Sheikh Thiam Mamadou Habib
• 来源期刊: 健康(英文)
• 学科: 医学
• 关键词: COMORBIDITY Derived OPIATE WITHDRAWAL Chronic PAIN Histrionic
• 年，卷（期）: 2020,（2）
• 页码范围: 99-105
• 页数: 7页
• 分类号: R61

摘要

Introduction: Tramadol* is a synthetic opioid agonist used as an analgesic. Despite its minor potential of addiction, it created recently a lot of concern. Its misuse may be motivated by a need to control the pain or by looking for her euphoric character. The aim of our study was to proceed a psychopathological reading of a case of addiction to Tramadol in a sickle cell patient with histrionic personality traits. Methods: We report the case’s management of a patient with addiction to Tramadol in a sickle cell patient with histrionic personality traits. The diagnosis was based on the DSM IV criteria. The review was done in the model of semi-structured interviews. Observation: Miss DP is 23 years old, sickle cell patient (AS profile). It is addressed to us for the management of an excessive consumption of Tramadol* started 4 years ago. Because of the difficulties of care in outpatient, we conducted hospitalization. The interviews highlight the histrionic personality traits and disruption of family dynamics. Discussion: Painful chronic diseases require a long analgesic treatment. It is a factor of dependence specially when the patient has a personality disorder. Multidisciplinary treatment between psychiatrist and addiction specialist and medical doctor is a guarantee of success.