title: Self-inflicted testicular amputation in first lysergic acid diethylamide use.
abstract: BACKGROUND
  Genital self-mutilation is a well-known phenomenon in patients with schizophrenia and has occasionally been described in patients with personality disorders or transsexuality. However, literature just provides few cases of genital self-mutilation related to the use of psychotropic substances.
  
  
  METHODS
  A previously mentally healthy man (age, 32 years) performed manual amputation of both testes after first use of lysergic acid diethylamide in combination with alcohol consumption. Follow-up examination 6 month after the event did not reveal the development of a psychiatric disorder.
  
  
  CONCLUSIONS
  This report shows that a first and single use of lysergic acid diethylamide in combination with alcohol can cause intoxication with dramatic consequences.
authors.affiliation: Department of Psychiatry and Psychotherapy III, University of Ulm, Germany.
authors.forename: Christian
authors.initials: C
authors.lastname: Blacha
authors.forename: Markus M
authors.initials: MM
authors.lastname: Schmid
authors.forename: Maximilian
authors.initials: M
authors.lastname: Gahr
authors.forename: Roland W
authors.initials: RW
authors.lastname: Freudenmann
authors.forename: Paul L
authors.initials: PL
authors.lastname: Plener
authors.forename: Florian
authors.initials: F
authors.lastname: Finter
authors.forename: Bernhard J
authors.initials: BJ
authors.lastname: Connemann
authors.forename: Carlos
authors.initials: C
authors.lastname: Schönfeldt-Lecuona
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000523:psychology; D000673:Amputation, Traumatic / Q000209:etiology* / Q000523:psychology / Q000601:surgery; D003693:Delirium / Q000209:etiology / Q000523:psychology; D006213:Hallucinogens / Q000008:administration & dosage / Q000009:adverse effects; D006801:Humans; D008238:Lysergic Acid Diethylamide / Q000008:administration & dosage / Q000009:adverse effects; D008297:Male; D011569:Psychiatric Status Rating Scales; D011605:Psychoses, Substance-Induced / Q000150:complications / Q000175:diagnosis / Q000523:psychology; D012652:Self Mutilation / Q000209:etiology / Q000523:psychology / Q000601:surgery; D015813:Substance Abuse Detection; D013737:Testis / Q000293:injuries*; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000379:methods
chemical_list: D006213:Hallucinogens; D008238:Lysergic Acid Diethylamide