Atypical course in severe @entity2437 in a XXXX -dependent male adolescent: a case report.

@entity1 @entity146 @entity914 @entity835 @entity1833 @entity161 @entity716 @entity10963 @entity2437 @entity1090
INTRODUCTION: Adolescents with @entity914 usually have full recovery from their first @entity716 , but the first relapse often arises within 2 years of the first episode. Cannabis-related @entity914 are difficult to distinguish from @entity914 . Here, we describe a particularly severe clinical case, with a first @entity716 occurring after heavy @entity835 smoking, an atypically long symptom-free duration, and a subsequent non-substance-related episode. CASE PRESENTATION: A 17-year-old male adolescent of Middle-East origin presented with delusions and @entity1833 after extensive @entity835 smoking. His first @entity716 , with @entity10963 and @entity1833 , progressed into severe @entity2437 symptoms. His symptoms were treated with electroconvulsive therapy and @entity1090 and he was transferred to a residential substance abuse treatment center. He remained drug-free and non-psychotic for 3.5 years. Given the temporal association with extensive @entity835 use, and his full remission of symptoms lasting several years, a @entity835 -induced @entity716 -though atypically extended-could be suspected. However, after 3.5 years without @entity146 care, and in a drug-free state, our @entity1 again presented with positive @entity716 , possibly induced by a period of severe psychosocial stress. CONCLUSION: We here discuss whether a primary @entity161 episode possibly induced by @entity835 can increase the risk of subsequent non-drug-related @entity161 episodes.
