Total parenteral nutrition caused Wernicke’s encephalopathy accompanied by wet beriberi
نویسندگان
چکیده
PATIENT Female, 17 FINAL DIAGNOSIS: Wernicke's encephalopathy Symptoms: Blurred vision • dizziness • nystygmus • tachycardia MEDICATION - Clinical Procedure: - Specialty: Neurology. OBJECTIVE Mistake in diagnosis. BACKGROUND Wernicke's encephalopathy (WE) is an acute and life-threatening illness which is not only seen in alcoholics, but also in persons with poor nutrition lacking thiamine (vitamin B1). CASE REPORT Here, we presented a case of WE in a patient who received parenteral nutrition without complement of thiamine. Besides neuropsychiatric problems, she also manifested prominent cardiovascular abnormalities, which were consistent with wet beriberi. CONCLUSIONS This case emphasizes the need for thiamine supplementation in prolonged total parenteral nutrition, and also highlights the awareness of WE in persons with parenteral nutrition lacking thiamine. More importantly, we call for attention to wet beriberi in such persons.
منابع مشابه
Wernicke encephalopathy: a complication of parenteral nutrition diagnosed by magnetic resonance imaging.
THIAMIN (vitamin B1) is a water-soluble vitamin involved in glucose metabolism. Its deficiency affects the cardiovascular (wet beriberi) and nervous (dry beriberi) systems, and in industrialized countries, it is commonly linked to chronic alcoholism. Wernicke encephalopathy (WE), a metabolic encephalopathy due to thiamine depletion, is clinically characterized by at least two among four feature...
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