{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T06:32:01Z","timestamp":1778221921675,"version":"3.51.4"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2017,8]]},"abstract":"\n Objectives<\/jats:title>\n Ketamine is a recreational drug widely abused in East Asia and also in certain subpopulations of the United States. Many US clinicians are unaware of abuse symptoms, leading to misdiagnosis and missed opportunities for intervention. We will discuss clinical patterns that should alert a clinician to the possibility of ketamine abuse.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We present 6 adolescent patients who presented to the pediatric emergency department and inpatient wards with urinary and hepatobiliary symptoms in the setting of ketamine abuse.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n We identified 6 patients with confirmed ketamine abuse who presented with epigastric pain or urinary pain. All had laboratory and radiographic evidence of disease.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Ketamine abuse is associated with a distinctive pattern of symptoms involving the urinary and hepatobiliary systems.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/pec.0000000000000502","type":"journal-article","created":{"date-parts":[[2015,8,6]],"date-time":"2015-08-06T06:20:17Z","timestamp":1438842017000},"page":"e24-e26","source":"Crossref","is-referenced-by-count":10,"title":["Ketamine Abuse Syndrome"],"prefix":"10.1097","volume":"33","author":[{"given":"Jessica W.","family":"Wang","sequence":"first","affiliation":[{"name":"From the *New York Presbyterian Hospital, New York; and \u2020New York Hospital Queens, Flushing, NY."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Violetta","family":"Kivovich","sequence":"additional","affiliation":[{"name":"From the *New York Presbyterian Hospital, New York; and \u2020New York Hospital Queens, Flushing, NY."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurie","family":"Gordon","sequence":"additional","affiliation":[{"name":"From the *New York Presbyterian Hospital, New York; and \u2020New York Hospital Queens, Flushing, NY."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"bib4-20231023","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1016\/S0196-0644(99)80051-1","article-title":"Inadvertent ketamine overdose in children: clinical manifestations and outcome","volume":"34","year":"1999","journal-title":"Ann Emerg Med"},{"key":"bib5-20231023","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1080\/02791072.2000.10400244","article-title":"A review of the nonmedical uses of ketamine: use, users, and consequences","volume":"32","year":"2000","journal-title":"J Psychoactive Drugs"},{"key":"bib6-20231023","article-title":"Ketamine as a street drug","volume":"30","year":"2001","journal-title":"Emerg Med Serv"},{"key":"bib7-20231023","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1016\/j.urology.2007.01.038","article-title":"Ketamine-associated ulcerative cystitis: a new clinical entity","volume":"69","year":"2007","journal-title":"Urology"},{"key":"bib8-20231023","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1111\/j.1742-1241.2010.02502.x","article-title":"Ketamine-induced vesicopathy: a literature review","volume":"65","year":"2011","journal-title":"Int J Clin Pract"},{"key":"bib9-20231023","first-page":"6","article-title":"Emergency department presentation of ketamine abusers in Hong Kong: a review of 233 cases","volume":"16","year":"2010","journal-title":"Hong Kong J Med"},{"key":"bib10-20231023","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1016\/j.drugalcdep.2008.01.024","article-title":"Journey through the K-hole: phenomenological aspects of ketamine use","volume":"95","year":"2008","journal-title":"Drug Alcohol Depend"},{"key":"bib11-20231023","doi-asserted-by":"crossref","first-page":"1616","DOI":"10.1111\/j.1464-410X.2008.07920.x","article-title":"The destruction of the lower urinary tract by ketamine abuse: a new syndrome?","volume":"102","year":"2008","journal-title":"BJU Int"},{"key":"bib12-20231023","first-page":"1762","article-title":"The prevalence and natural history of urinary symptoms among recreational ketamine users","volume":"110","year":"2011","journal-title":"BJU Int"},{"key":"bib13-20231023","first-page":"53","article-title":"Dilated common bile ducts mimicking choledochal cysts in ketamine abusers","volume":"15","year":"2009","journal-title":"Hong Kong Med J"},{"key":"bib14-20231023","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1097\/ADM.0b013e3182399216","article-title":"Ketamine-induced biliary dilation from Hong Kong to New York","volume":"6","year":"2012","journal-title":"J Addict Med"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00006565-201708000-00022","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T02:07:20Z","timestamp":1698026840000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00006565-201708000-00022"}},"subtitle":["Hepatobiliary and Urinary Pathology Among Adolescents in Flushing, NY"],"short-title":[],"issued":{"date-parts":[[2017,8]]},"references-count":11,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000000502","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2017,8]]}}}