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Related Experiment Videos

Delirium Tremens.

S R Mehta1, Hra Prabhu2, A J Swamy3

  • 1Consultant and Head, Department of Medicine, Armed Forces Medical College, Pune - 411 040.

Medical Journal, Armed Forces India
|July 14, 2016
PubMed
Summary
This summary is machine-generated.

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Delirium tremens (DT) often presents with varied symptoms and can be triggered by non-alcohol-related illnesses. Prompt identification and treatment, including intravenous vitamins and benzodiazepines, lead to complete recovery in most patients.

Area of Science:

  • Neurology
  • Internal Medicine
  • Psychiatry

Background:

  • Delirium tremens (DT) is a severe manifestation of alcohol withdrawal.
  • Clinical presentations and triggers for DT can be diverse.
  • Accurate diagnosis is crucial for effective management and preventing mortality.

Purpose of the Study:

  • To analyze the varied clinical manifestations and management strategies for delirium tremens (DT) in male patients.
  • To investigate the role of non-alcohol-related illnesses as precipitants for DT.
  • To evaluate treatment outcomes and long-term prognosis for patients with DT.

Main Methods:

  • Retrospective case series of 14 male patients diagnosed with DT.
  • Review of clinical presentations, comorbidities, laboratory findings, and neuroimaging.
Keywords:
Alcohol withdrawalConcomitant illnessesDeliriumPrecipitating events

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  • Analysis of treatment protocols, including intravenous therapies and psychotropic medications.
  • Follow-up assessment for relapse and long-term outcomes.

    • Main Results:

    • Eight patients were hospitalized for conditions unrelated to alcohol abuse, highlighting diverse triggers.
    • Common symptoms included delirium, hallucinations, tremulousness, and tachycardia.
    • Four patients had altered hepatic biochemical parameters; one had ketonuria.
    • All patients recovered with intravenous vitamin B complex, glucose, and oral benzodiazepines; two developed pancreatitis.
    • Eight patients were followed for 8-12 months without relapse.

    Conclusions:

    • Delirium tremens (DT) can be precipitated by factors other than direct alcohol abuse, necessitating thorough patient history.
    • Prompt and aggressive treatment with supportive care and pharmacotherapy leads to favorable outcomes.
    • Long-term follow-up indicates a low relapse rate with appropriate management.