Rapid reversal of digitalis delirium using digoxin immune Fab therapy.

Abstract:

:A fulminant psychiatric disturbance, as the sole noncardiac manifestation of digitalis toxicity, emerged in a 85-year-old woman during treatment for congestive heart failure. Described more than a century ago as "digitalis delirium," the disorder is characterized by severe agitation, delusional thinking, assaultive behavior, and even death. Digoxin immune Fab therapy was begun because of the fulminant psychiatric manifestations of this toxic state and the clear danger of self-inflicted physical harm. Within 3 h of therapy, a complete and spectacular resolution of all mental symptoms was observed.

journal_name

Clin Cardiol

journal_title

Clinical cardiology

authors

Varriale P,Mossavi A

doi

10.1002/clc.4960180611

subject

Has Abstract

pub_date

1995-06-01 00:00:00

pages

351-2

issue

6

eissn

0160-9289

issn

1932-8737

journal_volume

18

pub_type

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