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Alcohol and Alcoholism Vol. 35, No. 2, pp. 188-189, 2000
© 2000 Medical Council on Alcoholism

ALCOHOL WITHDRAWAL AND HYPOKALAEMIA: A CASE REPORT

M. R. M. J. Burin and C. C. H. Cook1,*

St. Martin's Hospital, Canterbury, Kent and
1 Kent Institute of Medicine and Health Sciences, University of Kent at Canterbury, Canterbury, Kent CT2 7PD, UK

Received 12 April 1999; first review notified 28 August 1999; accepted 10 September 1999

A case is presented where a 25-year-old man developed a serious hypokalaemia (K+ 2.2 mmol/l) during alcohol withdrawal, despite intravenous saline treatment and normal feeding. As hypokalaemia can be symptom-free, we want to draw attention to the combination of vomiting, malnutrition and alcohol withdrawal, as these can cause lethal complications. We therefore recommend that potassium serum level should be routinely monitored during alcohol withdrawal, even when this is being managed in the community.


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