Coma irreversível em paciente portadora de esquizofrenia paranoide: encefalopatia de Wernicke após síndrome de realimentação – um relato de caso
نویسندگان
چکیده
Encefalopatia de Wernicke (EW) e síndrome realimentação (SR) são duas condições frequentemente coexistentes, subdiagnosticadas que podem implicar prognóstico reservado após sua instalação. Sua identificação precoce representa um desafio para os intensivistas, haja vista a falta sensibilidade especificidade das manifestações clínicas. Apresenta-se relato caso uma paciente portadora esquizofrenia paranoide, sem histórico abuso álcool, desenvolveu quadro coma irreversível greve fome, sendo feito diagnóstico tardio EW associada SR. Descreve-se evolução clínica neuropsiquiátrica com o intuito enfatizar necessidade crucial alta suspeição diagnóstica, reposição vitamínica imediata, vigilância distúrbios eletrolíticos progressão parcimoniosa do aporte nutricional.
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ژورنال
عنوان ژورنال: Clinical & Biomedical Research
سال: 2021
ISSN: ['2357-9730']
DOI: https://doi.org/10.22491/2357-9730.103509