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In einer toxikologischen Screeninguntersuchunggab es kein Hinweis auf eine akute Intoxikation. Nach wiederholter Benzodiazepingabe bei starker Agitation und Myoklonien kam es zu einer Atemdepression, so dass der Patient intubiert werden musste. Zur Kupierung der Myoklonien und der Entzugssymptomatik waren bis zum 4. Therapietag kontinuierliche Gaben von Midazolam und Clonidin notwendig. Der Patient wurde nach 19 Therapietagen in eine psychiatrische Akutklinik verlegt. Die Therapie erfolgt symptomatisch supportiv. History and admission findings: A year-old man with known abuse of gamma-butyrolactone GBL was found with stupor and myoclonies on all extremities. Decubiti were detected on the knuckle of the right foot, on both elbows and at the rump. Investigations: Laboratory findings revealed signs of severe rhabdomyolysis and renal failure as well as elevated markers of inflammation. Other routine laboratory parameters were normal. A toxicological screening revealed no signs of an acute intoxication. Diagnosis, treatment and course: A GBL withdrawal syndrome was diagnosed. The treatment of agitation and myoclonies required repeated applications of benzodiazepines. Because of the resulting respiratory depression the patient had to be intubated. To cope with myoclonies and other symptoms of substance withdrawal we had to administer midazolame and clonidine continuously until day four. Because of acute renal failure resulting from rhabdomyolysis hemodialysis was necessary three times. After 19 days the patient was transferred to a psychiatric clinic. Conclusions: Primary care physicians treating patients with a coma of unknown cause always have to think of the possibility of GBL withdrawal. The treatment will be symptomatic. Supady uniklinik-freiburg. Year Archive Download PDF. Further Information Publication History eingereicht: Also available at. Google Scholar.

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Connect your Spotify account to your Last. Connect to Spotify. Replace video. Unser sexy ist Trendes ist die Kleidung die wir tragen, wenn wir durch die Strassen jagenwenn wir. Do you know any background info about this track? Start the wiki. Don't want to see ads? Upgrade Now. Scrobbling is when Last. Learn more. Javascript is required to view shouts on this page. Go directly to shout page. View full artist profile. View all similar artists. View all trending tracks. Loading player…. Scrobble from Spotify? Connect to Spotify Dismiss. Search Search Search. Join others and track this song Scrobble, find and rediscover music with a Last. Sign Up to Last. Play album. Length Lyrics Unser sexy ist Trendes ist die Kleidung die wir tragen, wenn wir durch die Strassen jagenwenn wir Lyrics Unser sexy ist Trendes ist die Kleidung die wir tragen, wenn wir durch die Strassen jagenwenn wir. Related Tags electroclash electronica electronic dance Add tags View all tags. Featured On Play album. Ascii Disko Ascii. Disko 26, listeners. Disko Ascii. Disko 14, listeners. Play track. Artist images 18 more. Disko 60, listeners Related Tags electronic electroclash electro Ascii. Disko is an electronic music project by Daniel Holc from Hamburg, Germany. Currently he lives in Madrid, Spain. Before DJing and producing music he was guitar player in the band Slown. After a while he got bored of making rock music and started to be more into electronic music. He also was producer for the band Tigerbeat from Hamburg. His debut album Ascii. Disko was released in Performances all over Europe followed. His music earned positve… read more. Before DJing and producing music he was … read more. Similar Artists Play all. Trending Tracks 1. Monday 22 April Tuesday 23 April Wednesday 24 April Thursday 25 April Friday 26 April Saturday 27 April Sunday 28 April Monday 29 April Tuesday 30 April Wednesday 1 May Thursday 2 May Friday 3 May Saturday 4 May Sunday 5 May Monday 6 May Tuesday 7 May Wednesday 8 May Thursday 9 May Friday 10 May Saturday 11 May Sunday 12 May Monday 13 May Tuesday 14 May Wednesday 15 May Thursday 16 May Friday 17 May Saturday 18 May Sunday 19 May Monday 20 May Tuesday 21 May Wednesday 22 May Thursday 23 May Friday 24 May Saturday 25 May Sunday 26 May Monday 27 May Tuesday 28 May Wednesday 29 May Thursday 30 May Friday 31 May Saturday 1 June Sunday 2 June Monday 3 June Tuesday 4 June Wednesday 5 June Thursday 6 June Friday 7 June Saturday 8 June Sunday 9 June Monday 10 June Tuesday 11 June Wednesday 12 June Thursday 13 June Friday 14 June Saturday 15 June Sunday 16 June Monday 17 June Tuesday 18 June Wednesday 19 June Thursday 20 June Friday 21 June Saturday 22 June Sunday 23 June Monday 24 June Tuesday 25 June Wednesday 26 June Thursday 27 June Friday 28 June Saturday 29 June Sunday 30 June Monday 1 July Tuesday 2 July Wednesday 3 July Thursday 4 July Friday 5 July Saturday 6 July Sunday 7 July Monday 8 July Tuesday 9 July Wednesday 10 July Thursday 11 July Friday 12 July Saturday 13 July Sunday 14 July Monday 15 July Tuesday 16 July Wednesday 17 July Thursday 18 July Friday 19 July Saturday 20 July Sunday 21 July Monday 22 July Tuesday 23 July Wednesday 24 July Thursday 25 July Friday 26 July Saturday 27 July Sunday 28 July Monday 29 July Tuesday 30 July Wednesday 31 July Thursday 1 August Friday 2 August Saturday 3 August Sunday 4 August Monday 5 August Tuesday 6 August Wednesday 7 August Thursday 8 August Friday 9 August Saturday 10 August Sunday 11 August Monday 12 August Tuesday 13 August Wednesday 14 August Thursday 15 August Friday 16 August Saturday 17 August Sunday 18 August Monday 19 August Tuesday 20 August Wednesday 21 August Thursday 22 August Friday 23 August Saturday 24 August Sunday 25 August Monday 26 August Tuesday 27 August Wednesday 28 August Thursday 29 August Friday 30 August Saturday 31 August Sunday 1 September Monday 2 September Tuesday 3 September Wednesday 4 September Thursday 5 September Friday 6 September Saturday 7 September Sunday 8 September Monday 9 September Tuesday 10 September Wednesday 11 September Thursday 12 September Friday 13 September Saturday 14 September Sunday 15 September Monday 16 September Tuesday 17 September Wednesday 18 September Thursday 19 September Friday 20 September Saturday 21 September Sunday 22 September Monday 23 September Tuesday 24 September Wednesday 25 September Thursday 26 September Friday 27 September Saturday 28 September Sunday 29 September Monday 30 September Tuesday 1 October Wednesday 2 October Thursday 3 October Friday 4 October Saturday 5 October Sunday 6 October Monday 7 October Tuesday 8 October Wednesday 9 October Thursday 10 October Friday 11 October Saturday 12 October Sunday 13 October Monday 14 October Tuesday 15 October Wednesday 16 October Thursday 17 October Friday 18 October Saturday 19 October

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