International Neuropsychiatric Disease Journal

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Substance Use Disorder: A Case of Alcohol Withdrawal in a 40 Year Old Man

International Neuropsychiatric Disease Journal, Page 22-28
DOI: 10.9734/indj/2022/v18i4359

Abstract


Alcohol withdrawal is a clinical state characterized by symptoms such as tremors, tachycardia, sweating, nausea and vomiting, headache, malaise, insomnia, grand mal convulsions amongst others. Patients typically present acutely with a history of recent cessation or reduction of heavy alcohol use after a long period of repeated, persistent use. It may feature perceptual disturbances such as illusions or hallucinations. It may present with delirium in a condition known as delirium tremens, which typically occurs after recent cessation or reduction of very heavy alcohol use in patients with a long-standing history of alcohol dependence syndrome, who may also have coexisting medical conditions. We herein report a case of a 40 year old man, with a 12-month history of persistent alcohol use, who presented with classical symptoms of alcohol withdrawal including inability to sleep, excessive sweating, tachycardia, vomiting, and hallucinations. There is no associated history of convulsions or co-morbid medical conditions. Features of this case are discussed, as well as evaluation and treatment of alcohol withdrawal.

Keywords:
  • Alcoholism
  • substance use disorder
  • alcohol withdrawal

How to Cite

Elendu, C., Ayabazu, C. P., Udoyen, A.-O. A., Kalu-Udeh, N. O., Okabekwa, O. S., Dada, R. E., Ante, P. A., Egbunu, E. O., Eze, M. C., Okafor, G. C., Enyong, J. M., Bassey, B. N., Avong, J. H., & Okongko, A. O. (2022). Substance Use Disorder: A Case of Alcohol Withdrawal in a 40 Year Old Man. International Neuropsychiatric Disease Journal, 18(4), 22-28. https://doi.org/10.9734/indj/2022/v18i4359

References

American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed.) text revision. Arlington, VA: American Psychiatric Association. (DSM-5-TR); 2022.

Deak J, Johnson E. Genetics of substance use disorders: A review. Psychological Medicine. 2021;51(13):2189-2200.

DOI:10.1017/S0033291721000969

Perry EC. Inpatient management of acute alcohol withdrawal syndrome. CNS Drugs. 2014;28(5):401-10.

DOI: 10.1007/s40263-014-0163-5

Mennecier D, Thomas M, Arvers P, et al. Factors predictive of complicated or severe alcohol withdrawal in alcohol dependent inpatients. Gastroenterol Clin Biol. 2008;32(8-9):792-7.

DOI: 10.1016/j.gcb.2008.06.004

Chan GM, Hoffman RS, Gold JA, et al. Racial variations in the incidence of severe alcohol withdrawal. J Med Toxicol. 2009;5:8–14.

DOI: 10.1007/BF03160974

Farrokh S, Roels C, Owusu KA, et al. Alcohol Withdrawal Syndrome in Neurocritical Care Unit: Assessment and Treatment Challenges. Neurocrit Care. 2021;34(2):593-607.

DOI: 10.1007/s12028-020-01061-8

Jesse S, Bråthen G, Ferrara M, et al. Alcohol withdrawal syndrome: mechanisms, manifestations, and management. Acta Neurol Scand. 2017;135(1):4-16.

DOI: 10.1111/ane.12671

Maldonado JR. Novel Algorithms for the Prophylaxis and Management of Alcohol Withdrawal Syndromes-Beyond Benzodiazepines. Crit Care Clin. 2017; 33(3):559-599.

DOI: 10.1016/j.ccc.2017.03.012

Schuckit MA. Recognition and management of withdrawal delirium (delirium tremens). N Engl J Med. 2014; 371(22):2109-13.

DOI: 10.1056/NEJMra1407298

Mainerova B, Prasko J, Latalova K, et al. Alcohol withdrawal delirium - diagnosis, course and treatment. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2015;159:44–52

Chukwuka E, Ayabazu CP, Akintunde AA, et al. Physical examination and clinical course of poisoning and drug overdose. International Journal of Scientific Advances (IJSCIA). 2022;3(5):762-767.

DOI: 10.51542/ijscia.v3i5.15

Elendu C, Udoyen AJ, Ante PA, et al. An overview of medical management of acute decompensated heart failure. JAMMR. 2022;34(23):302-305.

DOI:10.9734/JAMMR/2022/v34i234865

Chukwuka E, Akintunde AA, Okpujie OV, et al. Cardovascular diseases associated wth pregnancy: an overview. Internatonal Journal of Scientific Advances (IJSCIA). 2022;3(4):569-572.

Haber NL, Proude E, Lopatko O. Alcohol withdrawal management. In: Guidenes for the Treatment of Alcohol Problems. Ch. 5 Sydney, NSW: Ageing DoHa; 2009

Finney JW, Hahn AC, Moos RH. The effectiveness of inpatient and outpatient treatment for alcohol abuse: the need to focus on mediators and moderators of setting effects. Addiction. 1996;91(12):1773-1796

Solberg LI, Maciosek MV, Edwards NM. Primary care intervention to reduce alcohol misuse ranking its health impact and cost effectiveness. Am J Prev Med. 2008;34(2): 143-152.

DOI: 10.1016/j.amepre.2007.09.035
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