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