title: [Unusual alcoholic weaning, complicated: do you check the blood phosphate?].
abstract: A 65 year old alcoholic man was hospitalized because he was tired, hypotonic, with postural tremor. The neurologic symptoms increased during the first two days despite an adequate therapy for alcoholic weaning with hydratation, benzodiazepines and vitamins. A severe hypophosphatemia is diagnosed, associated with hypovitaminosis D, mild hypomagnesemia, mild hypokaliemia and a refeeding syndrome. 24 hours after the normalisation of his phosphatemia, the neurologic symptoms are adjusted.
authors: Service de Médecine Interne, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne.
authors: Nicolas
authors: N
authors: Gay
authors: Olivier
authors: O
authors: Lamy
authors: Romaine
authors: R
authors: Pouget
mesh_terms: D000368:Aged; D000430:Alcohol Withdrawal Delirium / Q000175:diagnosis* / Q000534:rehabilitation*; D000437:Alcoholism / Q000534:rehabilitation*; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D006801:Humans; D007008:Hypokalemia / Q000175:diagnosis* / Q000534:rehabilitation; D017674:Hypophosphatemia / Q000175:diagnosis* / Q000534:rehabilitation*; D008275:Magnesium Deficiency / Q000175:diagnosis* / Q000534:rehabilitation; D008297:Male; D055677:Refeeding Syndrome / Q000175:diagnosis* / Q000534:rehabilitation*; D014808:Vitamin D Deficiency / Q000175:diagnosis* / Q000534:rehabilitation*