{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:43:48Z","timestamp":1747151028490,"version":"3.40.5"},"reference-count":11,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T00:00:00Z","timestamp":1714003200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neuropsychopharm Rep"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Risk factors for alcohol withdrawal delirium include heavy drinking, prior alcohol withdrawal delirium or convulsions, nondrug sedative use, and a history of tachycardia, withdrawal, and infections.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Presentation<\/jats:title><jats:p>A 76\u2010year\u2010old man with a history of heavy drinking and type 2 diabetes was hospitalized for hypothermia, rhabdomyolysis, and acute renal failure after a typhoon. He developed alcohol withdrawal symptoms 24\u2009h after his last drink, leading to severe withdrawal delirium characterized by restlessness, delusions, and altered consciousness. Treatment included lorazepam, in addition to comprehensive care for his physical condition. His condition fluctuated, especially at night, with his psychiatric symptoms exacerbated by his physical illnesses, suggesting delirium due to the coexistence of severe and multiple physical illnesses. After 44\u2009days, following substantial improvements in both mental and physical health with perospirone, the patient was discharged.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This case emphasizes the need for multidisciplinary collaboration in the treatment of such patients, especially during disasters, and the importance of long\u2010term monitoring for elderly patients with alcohol dependence syndrome after a disaster.<\/jats:p><\/jats:sec>","DOI":"10.1002\/npr2.12446","type":"journal-article","created":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T10:08:45Z","timestamp":1714039725000},"page":"486-489","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Continuous alcohol withdrawal delirium and physical illness\u2010associated delirium in a man brought to the emergency department after a disaster: A case report"],"prefix":"10.1002","volume":"44","author":[{"given":"Kota","family":"Kikuchi","sequence":"first","affiliation":[{"name":"Department of Psychiatry, School of Medicine Dokkyo Medical University  Mibu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chie","family":"Hasegawa","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medicine Dokkyo Medical University  Mibu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taro","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medicine Dokkyo Medical University  Mibu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiteru","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medicine Dokkyo Medical University  Mibu 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