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A case of prolonged delirium tremens

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Singapore Med J 2013; 54(8): e152-e153; http://dx.doi.org/10.11622/smedj.2013113
A case of prolonged delirium tremens

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Nicholas J, Jacob R, Kinson R
Correspondence: Adj Asst Prof Rajesh Jacob, Jacob_rajesh@imh.com.sg

ABSTRACT
We present a case of delirium tremens lasting for five weeks in an alcohol-dependent individual. The patient required high-dose benzodiazepines, which is atypical and rare. The clinical presentation and management of this patient is discussed.

Keywords: alcohol withdrawal, benzodiazepines, prolonged delirium tremens
Singapore Med J 2013; 54(8): e152-e153; http://dx.doi.org/10.11622/smedj.2013113

http://smj.org.sg/sites/default/files/5408/5408cr1.pdf

REFERENCES

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http://dx.doi.org/10.1001/archinte.164.13.1405
 
2. Wolf KM, Shaughnessy AF, Middleton DB. Prolonged delirium tremens requiring massive doses of medication. J Am Board Fam Pract 1993; 6:502-4.
 
3. Guthrie SK. The treatment of alcohol withdrawal. Pharmacotherapy 1989; 9:131-43.
 
4. Miller FT. Protracted alcohol withdrawal delirium. J Subst Abuse Treat 1994; 11:127-130.
http://dx.doi.org/10.1016/0740-5472(94)90029-9
 
5. Mahajan R, Singh R, Bansal PD, Bala R. Use of Propofol as adjuvant therapy in refractory delirium tremens. Ind Psychiatry J 2010; 19:58-9.
http://dx.doi.org/10.4103/0972-6748.77641
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