Acute pernicious (sho-shin) beri-beri: a report of three cases.

نویسنده

  • C Motherway
چکیده

Acute pernicious or sho-shin beri-beri is characterised by haemodynamic and biochemical features which include hypotension, high cardiac output, low peripheral vascular resistance, lactic acidosis and high mixed venous content. The disorder is a metabolic emergency and requires immediate treatment with intravenous thiamine. Three cases are described which were successfully treated with intravenous thiamine (500 mg intravenously, followed by 100 mg 8-hourly for 24 hours then 100 mg daily) without using catecholamines or sodium bicarbonate. Digoxin was used in two cases to manage cardiac dysfunction which was poorly responsive to thiamine.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Beri-Beri; Its Etiology, Symptoms, Treatment and Pathology

same disease in Assam. Dr. Bentley shews that the kidneys are not affected in beri-beri, and that albumen is not found in the urine, statements which tally with our own experience. We also speak from observation when we say that the pernicious form of anajmia, produced in some persons by the ravages of Anchylostomum duodcnale, cannot be confounded with beri-beri. Beri-beri seems to be a disease...

متن کامل

A Note on the Pathology of Kala-Azar, or Beri-Beri, of Assam

many years. Its clinical characteristics have been well recognized, and the relation established, which the disease bears to similar conditions in Ceylon, Burmah,the Dutch Colonies, etc., yet its etiology still remains obscure. The term Beri-Beri has been used in many instances to denote two conditions, in one of which the disease consists in peripheral neuritis affecting generally the lower li...

متن کامل

Beri-beri in immigrant workers--a report of three cases.

Three East Timorese immigrants presented with signs and symptoms of heart failure in early December 1992. One of them also had features of peripheral neuropathy. Another collapsed within 24 hours of admission and attempts at resuscitation failed. The other two showed dramatic response to oral thiamine therapy. An investigation into their dietary history established gross deficiency in fresh veg...

متن کامل

The Cause of Beri-Beri

My attention was first called to this disease in an outbreak of beri-beri at Meiktila Jail in 1808 ; at that time I thought the disease was due to a micrococcus, which I found in between the starch cells in jewary, in the granary of the jail ; I had also found it in pigeon's excreta from the roofs, and thought I had also found it in the blood and in pigeon's blood. But my series of experiments ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine

دوره 1 1  شماره 

صفحات  -

تاریخ انتشار 1999