Wet beriberi with multiple organ failure remarkably reversed by thiamine administration: A case report and literature review

doi:10.1097/MD.0000000000010010

科研成果详情

题名	Wet beriberi with multiple organ failure remarkably reversed by thiamine administration: A case report and literature review
作者	Lei, Yuanli 1; Zheng, Ming-Hua 2; Huang, Weijian3; Zhang, Jie 1; Lu, Yingru4
发表日期	2018-03
发表期刊	MEDICINE 影响因子和分区
语种	英语
原始文献类型	Review
关键词	alcohol multiple organ failure prison thiamine wet beriberi
其他关键词	ST-SEGMENT ELEVATION ; SHOSHIN BERIBERI ; LACTIC-ACIDOSIS ; HEART-FAILURE ; PULMONARY-HYPERTENSION ; CARDIOGENIC-SHOCK ; DEFICIENCY ; MANIFESTATIONS ; PATIENT
摘要	Rationale:Circulatory failure, especially with low systemic vascular resistance (SVR), as observed in septic shock, thyrotoxicosis, and anemia, is a particular pattern that should suggest thiamine (vitamin B1) deficiency. The clinical picture of wet beriberi secondary to thiamine deficiency only demonstrates non-specific clinical manifestations. For a diagnosis of wet beriberi, medical history is very important. Interestingly, imprisonment was also found to be related to thiamine deficiency. This article presents a rare case of wet beriberi associated with multiple organ failure (MOF) in a prison patient with years of heavy alcohol consumption.Patient concerns:The patient reported repetitive symptoms of nausea, vomiting, respiratory distress, and palpitations for a period of 1 month; dyspnea and edema for 5 days; and decreased blood pressure and urine volume for 2 days.Diagnoses:The heart failure patient had a history of dietary deficiency. Right heart catheterization showed high cardiac output (CO) and low SVR. Measurement of serum thiamine concentration was low. The most important factor was that the hemodynamic indices were remarkably reversed by thiamine administration.Interventions:The patient started treatment with thiamine (100mg) by intramuscular injection, together with basic supportive care.Outcomes:The hemodynamic indices improved within 12hours after thiamine administration. Echocardiographic examinations revealed right ventricular function improvement within a few days, which were normal within a month.Lessons:A diagnosis of wet beriberi should be considered for a prison patient who has unexplained heart failure, lactic acidosis, and/or MOF. Moreover, the patient should be empirically given thiamine administration without delay.
出版者	LIPPINCOTT WILLIAMS & WILKINS
出版地	PHILADELPHIA
ISSN	0025-7974
EISSN	1536-5964
卷号	97 期号:9 页码:e0010.
DOI	10.1097/MD.0000000000010010
页数	5
WOS类目	Medicine, General & Internal
WOS研究方向	General & Internal Medicine
WOS记录号	WOS:000427995800004
收录类别	SCIE ; PUBMED ; SCOPUS
URL	查看原文
PubMed ID	29489643
PMC记录号	PMC5851725
SCOPUSEID	2-s2.0-85042740663
通讯作者地址	[Lu, Yingru]Department of Critical Care Medicine,First Affiliated Hospital,Wenzhou Medical University,Wenzhou, Zhejiang,China
Scopus学科分类	Medicine (all)
引用统计	被引频次：26[WOS] [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/18719
专题	附属第一医院附属第一医院_重症医学科（ICU）
通讯作者	Lu, Yingru
作者单位	1.Department of Emergency Medicine,NAFLD Research Centre,Wenzhou,China; 2.Department of Hepatology,NAFLD Research Centre,Wenzhou,China; 3.Department of Cardiology,First Affiliated Hospital,Wenzhou Medical University,Wenzhou,China; 4.Department of Critical Care Medicine,First Affiliated Hospital,Wenzhou Medical University,Wenzhou, Zhejiang,China
通讯作者单位	附属第一医院
推荐引用方式 GB/T 7714	Lei, Yuanli,Zheng, Ming-Hua,Huang, Weijian,et al. Wet beriberi with multiple organ failure remarkably reversed by thiamine administration: A case report and literature review[J]. MEDICINE,2018,97(9):e0010..
APA	Lei, Yuanli, Zheng, Ming-Hua, Huang, Weijian, Zhang, Jie, & Lu, Yingru. (2018). Wet beriberi with multiple organ failure remarkably reversed by thiamine administration: A case report and literature review. MEDICINE, 97(9), e0010..
MLA	Lei, Yuanli,et al."Wet beriberi with multiple organ failure remarkably reversed by thiamine administration: A case report and literature review".MEDICINE 97.9(2018):e0010..