Sudden Unexpected Death and Alcohol Addiction: Case Report on Disulfiram Use
Case studies
Gabija Kondratavičiūtė
Faculty of Medicine, Vilnius University image/svg+xml
https://orcid.org/0009-0000-8479-4554
Dalius Banionis
Department of Pathology, Forensic Medicine, Institute of Biomedical Sciences, Faculty of Medicine, Vilnius University image/svg+xml
https://orcid.org/0009-0009-8236-6359
Sigitas Laima
Department of Pathology, Forensic Medicine, Institute of Biomedical Sciences, Faculty of Medicine, Vilnius University image/svg+xml
Sigitas Chmieliauskas
Department of Pathology, Forensic Medicine, Institute of Biomedical Sciences, Faculty of Medicine, Vilnius University image/svg+xml
https://orcid.org/0000-0001-9104-9835
Diana Vasiljevaitė
Department of Pathology, Forensic Medicine, Institute of Biomedical Sciences, Faculty of Medicine, Vilnius University image/svg+xml
https://orcid.org/0000-0001-8415-5998
Paulius Petreikis
Department of Anatomy, Histology and Anthropology, Institute of Biomedical Sciences, Faculty of Medicine, Vilnius University image/svg+xml
Robertas Badaras
Centre for Toxicology, Clinic of Anaesthesiology, Reanimatology and Critical Care Medicine, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University image/svg+xml
https://orcid.org/0000-0003-1794-2259
Published 2025-02-18
https://doi.org/10.15388/Amed.2025.32.1.5
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Keywords

forensic science
disulfiram
autopsy
toxicology
pathology

How to Cite

1.
Kondratavičiūtė G, Banionis D, Laima S, Chmieliauskas S, Vasiljevaitė D, Petreikis P, et al. Sudden Unexpected Death and Alcohol Addiction: Case Report on Disulfiram Use. AML [Internet]. 2025 Feb. 18 [cited 2025 Mar. 9];32(1):5. Available from: https://journals.vu.lt./AML/article/view/36829

Abstract

Background: Disulfiram is a type of medication widely prescribed in order to cease alcohol consumption. When used with alcohol, the ‘disulfiram-alcohol reaction’ occurs, causing nausea and vomiting. Disulfiram blocks alcohol dissolving enzymes thus increasing acetaldehyde concentration and inducing the above-mentioned symptoms. These undesirable symptoms are similar to the side effects that occur to oncological patients after the administration of chemotherapy.
Materials and methods: Descriptive research method was used. The literature focusing on alcohol, medications and drug consumption was reviewed.
Case report: The primary abstinence at the beginning of treatment with Disulfiram does not guarantee that alcohol usage will not get manifested again at the further stages of treatment. Alcohol addiction forces patients to search for a way to avoid the unwanted reactions. Sometimes, patients tend to be quite ingenious while trying to suppress the arising side effects. In many cases, it involves the usage of additional medication.
Conclusions: When alcohol addiction overpowers, the patient tries to reduce the undesirable symptoms and may even die if alcohol is combined with disulfiram. Death may occur due to the cardio and neurotoxic effects of acetaldehyde.

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