Assuntos
Colonoscopia , Infecções por Citomegalovirus/etiologia , Listeriose/etiologia , Meningites Bacterianas/etiologia , Infecções Oportunistas Relacionadas com a AIDS/complicações , Infecções por Citomegalovirus/complicações , Infecções por HIV/complicações , Humanos , Listeria monocytogenes , Masculino , Pessoa de Meia-IdadeRESUMO
BACKGROUND: The aim of this study was to analyze clinical manifestations and treatment aspects of alcohol withdrawal syndrome. MATERIAL AND METHODS: A retrospective study of 212 clinical records. RESULTS: The commonest withdrawal effects were tremulousness (68.7%) 7 agitation (67.3%) and hallucinations (46%). Most patients were male. The 64% recognize a period of relative or absolute abstinence less than two days, and a 67.8% have been previous incident of withdrawal syndrome. The commonest complications during hospital stay were rhabdomyolysis (26%). Time of symptoms were three days and mean of hospitalization were 14 days. The treatment used was the correction of fluid and electrolyte imbalance (93%) and B vitamins (98%). In relation to the use of drugs, in 84% of our patients we used benzodiazepines with longer-acting, and clomethiazole in 50% of cases. Mortality were 0.9%. CONCLUSIONS: Patient with alcohol withdrawal syndrome was a male, previously drinker, with a period of abstinence less than two days. In addition to tremulousness and agitation, in our series, we wish to emphasize higher frequency of hallucinations, and the incidence of complications as rhabdomyolysis, despite of such response of treatment is good and mortality is low.
Assuntos
Etanol/efeitos adversos , Síndrome de Abstinência a Substâncias , Adulto , Ansiolíticos/uso terapêutico , Benzodiazepinas , Clormetiazol/uso terapêutico , Feminino , Moduladores GABAérgicos/uso terapêutico , Humanos , Hipnóticos e Sedativos/uso terapêutico , Tempo de Internação , Masculino , Estudos Retrospectivos , Rabdomiólise/etiologia , Síndrome de Abstinência a Substâncias/diagnóstico , Síndrome de Abstinência a Substâncias/terapia , Fatores de Tempo , Complexo Vitamínico B/uso terapêuticoRESUMO
Cocaine intake growth is a well-known fact, and that involves the appearance of unknown or forgotten complications. We have wanted to make a checking of neurologic complications due to the intake of this drug, make a special point of the physiopathological mechanisms and stopping at those related to treatment. We also want to contribute with our experience with regard to these processes.
