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BMC Psychiatry

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Open Access 01-12-2021 | Hypovolemic Shock | Case report

Severe diaphoresis and fever during alcohol withdrawal cause hypovolemic shock: case report

Authors: Michitaka Funayama, Ryotaro Okochi, Shintaro Asada, Yusuke Shimizu, Shin Kurose, Taketo Takata

Published in: BMC Psychiatry | Issue 1/2021

Abstract

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.

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Title: Severe diaphoresis and fever during alcohol withdrawal cause hypovolemic shock: case report
Authors: Michitaka Funayama
Ryotaro Okochi
Shintaro Asada
Yusuke Shimizu
Shin Kurose
Taketo Takata
Publication date: 01-12-2021
Publisher: BioMed Central
Keyword: Hypovolemic Shock
Published in: BMC Psychiatry / Issue 1/2021
Electronic ISSN: 1471-244X
DOI: https://doi.org/10.1186/s12888-021-03393-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Severe diaphoresis and fever during alcohol withdrawal cause hypovolemic shock: case report

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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