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

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.,...

Full description

Saved in:
Bibliographic Details
Published in:BMC psychiatry 2021-08, Vol.21 (1), p.1-387, Article 387
Main Authors: Funayama, Michitaka, Okochi, Ryotaro, Asada, Shintaro, Shimizu, Yusuke, Kurose, Shin, Takata, Taketo
Format: Article
Language:English
Subjects:
Acute renal failure
Alcohol use
Alcohol withdrawal
Alcoholism
Angina pectoris
Arrhythmia
Beta blockers
Blood pressure
Cardiac arrhythmia
Cardiomyopathy
Case Report
Case reports
Case studies
Causes of
Complications and side effects
Coronary vessels
Delirium
Diaphoresis
Drug withdrawal
Drug withdrawal symptoms
Emergency medical care
Esophagus
Fever
Hallucinations
Heart surgery
Hematemesis
Hemoglobin
Hospitals
Hyperhidrosis
Hyperthermia
Hypotension
Hypovolemic shock
Insomnia
Intravenous therapy
Patients
Psychiatry
Psychotropic drugs
Renal failure
Seizures
Shock
Urine
Water intake
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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. Keywords: Alcohol withdrawal, Diaphoresis, Fever, Hypovolemic shock, Acute renal failure
ISSN:1471-244X
1471-244X
DOI:10.1186/s12888-021-03393-x