Kafle Paritosh, Mandal Amrendra Kumar, Shrestha Binav, Bhattrai Bikash, Bhandari Manjul, Bhagat Shambhu, Shankar Kar Bijoy, Sharma Dikshya, Gayam Vijay
1 Interfaith Medical Center, Brooklyn, NY, USA.
2 Maimonides Medical Center, Brooklyn, NY, USA.
J Investig Med High Impact Case Rep. 2019 Jan-Dec;7:2324709619847228. doi: 10.1177/2324709619847228.
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.
难治性酒精戒断谵妄在日常临床实践中并不常见。本病例报告展示了一例罕见的震颤谵妄病例,其持续时间异常长,尽管在治疗方案中添加了咪达唑仑静脉滴注以及苯巴比妥,但在逐渐减少苯二氮䓬类药物用量时仍遇到困难,且排除了其他可能的诊断。