A rare distributive shock diagnosed only by medical history and inspection

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A rare distributive shock diagnosed only by medical history and inspection

Kamada, Ayaka; Komatsu, Takayuki; Asako, Suguru; Mizuno, Keiko; Takami, Hiroki; Nomura, Tomohisa; Sugita, Manabu

Clinical case reports, December 2022, Volume: 10, Issue: 12

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A 78‐year‐old Japanese man was in a state of shock with skin flushing. Although he denied, his wife revealed his prescription disulfiram for alcoholism. Disulfiram‐ethanol reaction, even though it is a rare cause of distributive shock, could be easily and quickly differentiated only based on accurate medical history and inspection. Even if disulfiram–ethanol reaction is difficult to diagnose especially under a state of shock and disturbance of consciousness, it could be easily and quickly differentiated by not laboratory findings, but only inspection and a medical history.

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