A 32-year-old male has been brought into the emergency
department by the police. He had been arrested the previous night on a charge
o disturbing the peace at a nightclub. Whilst in police custody the patient
became irritable, confused and had several generalised seizures.
On examination the patient is not orientated in place and
time and is having visual hallucinations. He is febrile but has a tachycardia
and tachypnoea. There are no other physical signs.
The most likely cause of his condition is the withdrawal