Annals of Tropical Medicine and Public Health
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CASE REPORT
Year : 2014  |  Volume : 7  |  Issue : 1  |  Page : 70-72

An unusual cause of headache in the medical tourist


1 Department of Neuromedicine, Pramukhswami Medical College and Shree Krishna Hospital, Karamsad, Anand, Gujarat, India
2 Department of Medicine, Pramukhswami Medical College and Shree Krishna Hospital, Karamsad, Anand, Gujarat, India

Correspondence Address:
Soaham Dilip Desai
Professor and Head, Department of Neurology, Consultant Neurologist, Room 119, Ramanbhai Gokal Privilege Centre, Shree Krishna Hospital, Karamsad - 388 325, Anand, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.145030

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With booming medical tourism, Indian doctors are seeing a lot of patients from other countries for varied medical conditions. A citizen of Nairobi presented for treatment of his complaints consisting of severe episodic headache, with abdominal pain, spermatorrhea, decreased libido, constipation, and impotence. On detailed evaluation, he was found to have developed dependence to khat chewing; a social habit in his native country and his symptoms were attributed to effects of khat withdrawal. He improved after treatment with topiramate and escitalopram and lifestyle modification. Physicians need to be aware of various cultural habits of addiction in different parts of the world and their common presentations in view of globalization of health care.


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