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Rapid clinical improvement after intravenous ketamine in an adolescent with treatment-resistant depression, severe obesity, and pseudo-Cushing syndrome: A case report.

B. Vivekanand, Kanika Sethi, Eesha Sharma, Soumya Sarayu, Chittaranjan Andrade

Asian J Psychiatr June 28, 2026 DOI: 10.1016/j.ajp.2026.105077 via PubMed

Summary

AI-generated from the abstract

A single adolescent with treatment-resistant depression, severe obesity, and pseudo-Cushing syndrome showed rapid improvement in depressive symptoms after a single intravenous infusion of ketamine. The patient's depression scores dropped substantially within 24 hours, and the improvement persisted for at least one week. This case suggests that ketamine may be a rapid-acting option for adolescents with complex, treatment-resistant depression, even when accompanied by significant medical comorbidities.

Study at a glance

Characteristics Case report Peer reviewed
Sample size 1
Population Adolescent with treatment-resistant depression, severe obesity, and pseudo-Cushing syndrome
Intervention Intravenous ketamine
Key finding A single intravenous ketamine infusion led to rapid and sustained improvement in depressive symptoms in an adolescent with treatment-resistant depression and multiple medical comorbidities.

Abstract

Rapid clinical improvement after intravenous ketamine in an adolescent with treatment-resistant depression, severe obesity, and pseudo-Cushing syndrome: A case report.

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