Journal of Investigative Medicine High Impact Case Reports (May 2019)

Twenty-Eight-Day-Long Delirium Tremens

  • Paritosh Kafle MBBS,
  • Amrendra Kumar Mandal MBBS,
  • Binav Shrestha MBBS,
  • Bikash Bhattrai MBBS,
  • Manjul Bhandari MBBS,
  • Shambhu Bhagat MBBS,
  • Bijoy Shankar Kar MBBS,
  • Dikshya Sharma MBBS,
  • Vijay Gayam MD

DOI
https://doi.org/10.1177/2324709619847228
Journal volume & issue
Vol. 7

Abstract

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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.