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Delirium tremors: This results from the long continued action of the poison on the brain. It occurs in chronic alcoholics due to (1) Temporary excess (2) sudden withdrawal (3) shock after receiving an injury, such as fracture of a bone, or (4) from acute infection, such as pneumonia, influenza, erysipelas etc

It typically begins 72 to 96 hours after the last drink. There's an acute attack of insanity in which the main symptoms are coarse muscular tremors of the face, tongue and hands, insomnia, restlessness, loss of memory, agitation, confusion, disorientation, uncontrollable fear and has tendency to commit suicide, homicide or violent assault or to cause damage to property. Other symptoms are diarrhea, dilated pupils, fever, tachycardia, tachyapnoea and hypertension. There is disorientation as to time and place and a peculiar kind of delirium of horrors owing to hallucination of the sight and hearing. The patient imagines that insects are crawling under the skin, or snakes are crawling on his bed it is considered unsoundness of mind and not intoxication. Death occurs in about 5 to 5$ of the cases. To control agitation diazepam should be given

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