Challenges in Diagnosing and Managing Self-Embedding Behavior: A Rare Case Report | Chapter 8 | Medical Science: Trends and Innovations Vol. 4

Objectives: Self-embedding behavior (SEB) is a complex phenomenon characterized by the deliberate insertion of objects into soft tissues, often associated with psychotic or factitious disorders. Commonly used objects include needles, staples, pins, spikes, and pieces of wire. This study aims to highlight the clinical challenges and management of SEB through a rare case presentation.

Methods: The case of a 25-year-old male who presented with SEB involving the insertion of a knitting needle approximately 10 cm into his left gluteal region through a pre-existing gluteal abscess, was reported. The patient was successfully treated with surgical intervention and multidisciplinary care.

Results: The foreign body was successfully removed without post-operative complications. The patient was observed postoperatively, underwent psychiatric evaluation, and was monitored for six months, demonstrating no recurrence or long-term complications.

Conclusion: SEB is a multifaceted condition with significant medical, psychiatric, and legal implications. Early recognition, timely intervention, and interdisciplinary collaboration between trauma surgeons, psychiatrists, and legal experts are critical to ensuring optimal patient outcomes and preventing severe complications.

 

Author (s) Details

 

Priya Ahuja
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Bathinda, Punjab, India.

 

Divakar Goyal
Department of Trauma and Emergency, All India Institute of Medical Sciences, Bathinda, Punjab, India.

 

Please see the book here:- https://doi.org/10.9734/bpi/msti/v4/4203

Poisoning; A Grave Public Health Concern | Chapter 5 | Technological Innovation in Pharmaceutical Research Vol. 4

 Over half a million people die each year as a result of intentional and unintentional poisoning, with low- and middle-income countries (LMIC) accounting for 84 percent of such fatalities. The clinical appearance of such instances differs depending on the age group, the cause of poisoning, the geographic region, the drugs involved, and the country's economic progress. The goal of this study was to determine the number of poisoning incidents in Sindh's central area. Between July and December 2019, the study was conducted in a tertiary care hospital (TCH) in Shaheed Benazirabad, Sindh, Pakistan. The poisoned patients admitted to the TCH were the test subjects. The study instrument was created using data from surveys conducted by the American Association of Poison Control Centers. A total of 263 poisoning cases were presented during the study period. The study's findings revealed that cases of poisoning are more common among single (56.3 percent) males (58.9%) in the age bracket of 16-30 years (48.7%), with illiterate (55.1 percent) and jobless (54 percent) backgrounds. Suicide (intended poisoning) was the most prevalent cause of poisoning (36.5%), while pesticides (42.6%) were the most commonly poisoned substances. During the study period, 17.5 percent of such cases were admitted to Intensive Care Units, and 5.3 percent of such people died as a result of their condition. It was discovered in this study that enhancing regulatory controls for hazardous chemicals, establishing poison control centres, reducing reporting time, and minimising exposure to such compounds will all help to control such incidents.

Author (s) Details

Shaib Muhammad
Department of Pharmaceutics, Faculty of Pharmacy, University of Sindh, Pakistan.

Jabbar Abbas
Institute of Pharmaceutical Sciences, Peoples University of Medical and Health Sciences for Women, Nawabshah, Shaheed Benazirabad, Pakistan.

View Book :- https://stm.bookpi.org/TIPR-V4/article/view/1497