Background
Several fatal medical complications have been associated with alcohol withdrawal, such as seizure, cardiac arrhythmia, and takotsubo cardiomyopathy. However, there have been no reports on hypovolemic shock during alcohol withdrawal, although two physical signs of alcohol withdrawal, i.e., diaphoresis and fever, can lead to hypovolemia and its medical consequences.
Case presentation
We describe a patient with alcohol use disorder who exhibited hypovolemic shock and its associated acute renal failure during alcohol withdrawal with severe diaphoresis and fever even though he had consumed almost the full amount of food he was offered. Given his excessive diaphoresis and fever that were related to alcohol withdrawal, his water intake was insufficient. Infusion with extracellular fluid resolved all these medical issues.
Conclusions
The increased adrenergic activity associated with alcohol withdrawal might substantially increase a patient’s water-intake requirement through diaphoresis and fever and may cause severe hypovolemia and its associated medical complications.
Die Isocyanid‐olefin‐Komplexe (II) werden durch photochemische oder im Fall von L: Tetracyanoäthylen durch thermische Substitutionsreaktionen der Hexakis‐[isocyanid]‐Komplexe (I) mit den entsprechenden Olefinen dargestellt.
In line with development of hospital compounding to one particular orientation in Nagasaki University Hospital, there has been a marked tendency for the decrease in the preparations over all possible orientations compounded beforehand such as ointments or powders. We attempted to evaluate the work involved including the calculation fees for the technica skill needed based on the unit processing of the preparations.The working tasks that we take preparation for 5 unit processes is 5 points. As a result, we could make a comparative examination of the work required for each preparation on the same scale during the 1990-1994 period. In 1990, the working score for unsterilized preparetions was 34, 742 points and the sterilized preparation score is 46, 744 points.In 1994, the score for unsterilized preparations was 1, 021points whereas that for sterilized preparation grew to 163, 089 points.At present, the preparations for the condition of a disease are increasing as patient-oriented services. This method of assessment is considered available to reexamine works in the preparation service.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.