Affiliation:
1. Tertiary Emergency Medical Center (Trauma and Critical Care) Tokyo Metropolitan Bokutoh Hospital Tokyo Japan
Abstract
AbstractBackgroundWe report a case of disulfiram overdose that caused a delayed onset of impaired consciousness and ketoacidosis.Case presentationA 61‐year‐old man was transferred to our hospital following a suicide attempt. The patient lost consciousness after an overdose of disulfiram and brotizolam. He was diagnosed with acute drug intoxication and was intubated. On day 2, he showed an improved consciousness response and was successfully extubated. On day 5, the state of consciousness worsened again, and ketoacidosis progressed. The patient required hemodialysis and suffered from impaired consciousness for the following 2 weeks. Eventually, he recovered gradually and was discharged to the rehabilitation ward.ConclusionsThe delayed appearance of symptoms after the disulfiram overdose was thought to be related to the slow metabolism of disulfiram in the body. Our case suggests the necessity of careful follow‐up for delayed impaired consciousness.
Subject
Industrial and Manufacturing Engineering,Materials Science (miscellaneous),Business and International Management
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