Twenty-Eight-Day-Long Delirium Tremens

J Investig Med High Impact Case Rep. 2019 Jan-Dec:7:2324709619847228. doi: 10.1177/2324709619847228.

Abstract

Refractory alcohol withdrawal delirium is uncommon in day-to-day clinical practice. This case report presents a rare case of delirium tremens of unusually long duration that was complicated by the difficulty in tapering down benzodiazepines despite adding midazolam drip as well as phenobarbitone to the management regimen and excluding other possible diagnoses.

Keywords: DT; benzodiazepines; delirium tremens; midazolam; phenobarbitone; prolonged delirium tremens.

Publication types

  • Case Reports

MeSH terms

  • Alcohol Withdrawal Delirium / diagnosis*
  • Alcohol Withdrawal Delirium / rehabilitation*
  • Benzodiazepines / administration & dosage
  • Brain / diagnostic imaging
  • Diagnosis, Differential
  • Humans
  • Hypnotics and Sedatives / administration & dosage
  • Male
  • Midazolam / administration & dosage
  • Middle Aged
  • Phenobarbital / administration & dosage
  • Tomography, X-Ray Computed

Substances

  • Hypnotics and Sedatives
  • Benzodiazepines
  • Midazolam
  • Phenobarbital