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Continuous alcohol withdrawal delirium and physical illness-associated delirium in a man brought to the emergency department after a disaster: A case report.
Kikuchi, Kota; Hasegawa, Chie; Sasaki, Taro; Sato, Yoshiteru; Owada, Tamaki; Shindo, Yunosuke; Kawamata, Yasushi; Sugawara, Norio; Yasui-Furukori, Norio.
Afiliación
  • Kikuchi K; Department of Psychiatry, School of Medicine, Dokkyo Medical University, Mibu, Japan.
  • Hasegawa C; Department of Psychiatry, School of Medicine, Dokkyo Medical University, Mibu, Japan.
  • Sasaki T; Department of Psychiatry, School of Medicine, Dokkyo Medical University, Mibu, Japan.
  • Sato Y; Department of Psychiatry, School of Medicine, Dokkyo Medical University, Mibu, Japan.
  • Owada T; Department of Psychiatry, School of Medicine, Dokkyo Medical University, Mibu, Japan.
  • Shindo Y; Department of Psychiatry, School of Medicine, Dokkyo Medical University, Mibu, Japan.
  • Kawamata Y; Department of Psychiatry, School of Medicine, Dokkyo Medical University, Mibu, Japan.
  • Sugawara N; Department of Psychiatry, School of Medicine, Dokkyo Medical University, Mibu, Japan.
  • Yasui-Furukori N; Department of Psychiatry, School of Medicine, Dokkyo Medical University, Mibu, Japan.
Neuropsychopharmacol Rep ; 2024 Apr 25.
Article en En | MEDLINE | ID: mdl-38660963
ABSTRACT

BACKGROUND:

Risk factors for alcohol withdrawal delirium include heavy drinking, prior alcohol withdrawal delirium or convulsions, nondrug sedative use, and a history of tachycardia, withdrawal, and infections. CASE PRESENTATION A 76-year-old man with a history of heavy drinking and type 2 diabetes was hospitalized for hypothermia, rhabdomyolysis, and acute renal failure after a typhoon. He developed alcohol withdrawal symptoms 24 h after his last drink, leading to severe withdrawal delirium characterized by restlessness, delusions, and altered consciousness. Treatment included lorazepam, in addition to comprehensive care for his physical condition. His condition fluctuated, especially at night, with his psychiatric symptoms exacerbated by his physical illnesses, suggesting delirium due to the coexistence of severe and multiple physical illnesses. After 44 days, following substantial improvements in both mental and physical health with perospirone, the patient was discharged.

CONCLUSION:

This case emphasizes the need for multidisciplinary collaboration in the treatment of such patients, especially during disasters, and the importance of long-term monitoring for elderly patients with alcohol dependence syndrome after a disaster.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Neuropsychopharmacol Rep Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Neuropsychopharmacol Rep Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos