Recreational Dissociation Leading to Bloody Urination

      We describe a male patient who presented to the emergency department with gross hematuria and dysuria in the setting of recreational ketamine abuse. A diagnosis of ketamine cystitis (KC) was made.


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        • Pal R
        • Balt S
        • Erowid F
        • Baggott MJ
        • Mendelson Galloway GP
        Ketamine is associated with lower urinary tract signs and symptoms.
        Drug Alcohol Depend. 2013; 1321: 189-194
        • Wei YB
        • Yang JR
        • Yin Z
        • Guo Q
        • Liang BL
        • Zhou KQ.
        Genitourinary toxicity of ketamine.
        Hong Kong Med J. 2013; 19: 341
        • Yao CT
        Hann. Ketamine cystitis: its urologic impact and management.
        Urol Sci. 2015; 26: 153-157
        • Tsai TH
        • Cha TL
        • Lin CM
        • et al.
        Ketamine-associated bladder dysfunction.
        Int J Urol. 2009; 16: 826-829
        • Huang LK
        • Wang JH
        • Shen SH
        • Lin AT
        • Chang CY.
        Evaluation of the extent of ketamine-induced uropathy: the role of CT urography.
        Postgrad Med J. 2014; 90: 185-190
        • Winstock AR
        • Mitcheson L
        • Gillatt DA
        • Cottrell AM.
        The prevalence and natural history of urinary symptoms among recreational ketamine users.
        BJU Int. 2012; 110: 1762-1766
        • Jiang S
        • Xie K
        • Cai YB.
        Treatment ketamine-related bladder dysfunction by intravesical injection of botulinum toxin A.
        J Third Mil Med Univ. 2012; 34: 1120-1122