Case 13-2019: A 54-Year-Old Man with Alcohol Withdrawal and Altered Mental Status

Case 13-2019: A 54-Year-Old Man with Alcohol Withdrawal and Altered Mental Status

A 54-year-old man was admitted to the hospital for alcohol withdrawal. On the fifth day, after resolution of withdrawal symptoms, he was found to be delirious, lethargic, and minimally responsive. Laboratory evaluation was notable for anion-gap metabolic acidosis. Additional diagnostic test results...

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Veröffentlicht in:The New England journal of medicine 2019-04, Vol.380 (17), p.1657-1665
Hauptverfasser: Fenves, Andrew Z, Mojtahed, Amirkasra, Nisavic, Mladen, Massoth, Lucas R
Format: Artikel
Sprache:eng
Schlagworte:
Abdomen
Acidosis
Addictions
Alcohol withdrawal
Alcoholism
Cardiac arrhythmia
Case reports
Convulsions & seizures
Delirium
Drug use
Gastroesophageal reflux
Hallucinations
Heart rate
Medical diagnosis
Medical imaging
Mens health
Metabolic acidosis
Metabolites
Nausea
Patients
Substance abuse treatment
Urinalysis
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Beschreibung
Zusammenfassung:A 54-year-old man was admitted to the hospital for alcohol withdrawal. On the fifth day, after resolution of withdrawal symptoms, he was found to be delirious, lethargic, and minimally responsive. Laboratory evaluation was notable for anion-gap metabolic acidosis. Additional diagnostic test results were received.
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMcpc1900591