SciELO - Scientific Electronic Library Online

vol.62 número4Beriberi cardiovascular agudo (Shoshin-Beriberi)Poliartritis y tenosinovitis grave por Streptococcus agalactiae en un paciente con hipoesplenia funcional índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados




  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO


Medicina (Buenos Aires)

versión impresa ISSN 0025-7680versión On-line ISSN 1669-9106


KLEIN, Manuel; PAYASLIAN, Silvio; GOMEZ, Javier  y  PRIGIONI, Alejandra. Delirium due to acute nicotine withdrawal. Medicina (B. Aires) [online]. 2002, vol.62, n.4, pp.335-336. ISSN 0025-7680.

Delirium or acute confusional state among hospitalized patients is a frequent and serious problem. It is characterized by acute onset symptoms, fluctuating course, impaired attention, unorganized thinking, and altered level of conciousness. Delirium, as a manifestation of acute nicotine withdrawal syndrome has been reported in the reviewed literature only in eight cases. We report the case of a heavy smoker admitted because of a reagudization of his chronic obstructive pulmonary disease. At the third day of nicotine abstinence, he developed delirium with a rapid improvement of his symptoms after treatment with a transdermal nicotine patch. This description suggests that in hospitalized heavy smokers who develop delirium with agitation, a simple trial with a nicotine patch can offer a dramatic therapeutic response in a few hours, constituing additionally a confirmatory test. The recognition of delirium as a manifestation of nicotine withdrawal could allow to determine the origin of symptoms and to apply the appropriate therapy, in certain complex cases that now remain undiagnosed.

Palabras clave : Delirium; Acute confusional state; Nicotine; Substance withdrawal syndrome.

        · resumen en Español     · texto en Español     · Español ( pdf )


Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons