A rare distributive shock diagnosed only by medical history and inspection

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

doi:10.1002/ccr3.6746

A rare distributive shock diagnosed only by medical history and inspection

Clin Case Rep. 2022 Dec 15;10(12):e6746. doi: 10.1002/ccr3.6746. eCollection 2022 Dec.

Authors

Ayaka Kamada^{1

2}, Takayuki Komatsu^{1

3}, Suguru Asako^{1

4}, Keiko Mizuno¹, Hiroki Takami¹, Tomohisa Nomura¹, Manabu Sugita¹

Affiliations

¹ Department of Emergency and Critical Care Medicine Juntendo University Nerima Hospital Tokyo Japan.
² Department of Nephrology Tohoku Medical And Pharmaceutical University Hospital Miyagi Japan.
³ Department of Sports Medicine Juntendo University Faculty of medicine Tokyo Japan.
⁴ Department of Emergency JR Tokyo General Hospital Tokyo Japan.

Abstract

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.

Keywords: distributive shock; disulfiram–ethanol reaction (DER); inspection; medical history; skin flushing.

Publication types

Case Reports