Abstract
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. 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. 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. The patient started treatment with thiamine (100 mg) by intramuscular injection, together...Continue Reading
References
Sep 1, 1978·Circulation·M AttasR G McAllister
Aug 1, 1989·Annals of Emergency Medicine·K D WrennC M Slovis
Jan 1, 1986·JPEN. Journal of Parenteral and Enteral Nutrition·P La SelveD Robert
May 15, 1984·The American Journal of Cardiology·V G PereiraV Tronchini
Aug 8, 1998·The Journal of Emergency Medicine·S W Smith
May 23, 2001·Nutrition·H OzawaS Handa
May 6, 2005·Intensive Care Medicine·J KountchevM Joannidis
Jul 16, 2005·Internal Medicine·Hiroaki KawanoKatsusuke Yano
Jan 5, 2006·Archives of Pathology & Laboratory Medicine·Huy A Tran
Jan 18, 2006·Journal of the American College of Cardiology·Stacy A HanninenMary E Keith
Mar 10, 2007·International Journal of Cardiology·Jae Hyeong ParkSi-Wan Choi
Oct 22, 2008·The Journal of Emergency Medicine·Pablo Loma-OsorioXavier Bosch
May 22, 2009·Clinical and Experimental Nephrology·Jiro ToyonagaMitsuo Iida
Jul 14, 2010·Circulation Journal : Official Journal of the Japanese Circulation Society·Hiro YamasakiKazutaka Aonuma
Jul 21, 2010·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·R GalvinUNKNOWN EFNS
Jan 20, 2011·Diagnostic Pathology·Stefania BelloVittorio Fineschi
Dec 30, 2011·PloS One·John T WatsonMark A Katz
Jun 5, 2012·Psychosomatics·Thomas M Brown
Nov 20, 2012·The American Journal of Emergency Medicine·Kara E Ward, Kyle I Happel
Jul 16, 2013·The Journal of Emergency Medicine·Makini Chisolm-Straker, David Cherkas
Sep 18, 2013·Korean Circulation Journal·Hee-Sun LeeYoung-Bae Park
Jan 9, 2014·Life Sciences·Danilo Roman-Campos, Jader Santos Cruz
Jan 28, 2015·Cardiovascular Journal of Africa·Jihye KimSun Jong Kim
May 20, 2015·Nutrition Journal·George DabarBertrand Jaber
Sep 9, 2015·International Heart Journal·Teruhiko Imamura, Koichiro Kinugawa
Apr 10, 2016·Nutrition Journal·Minako YamamuraMasayuki Takamura
Apr 22, 2016·Bulletin de la Société de pathologie exotique·F A CisséA Cissé
Aug 10, 2016·International Journal of Cardiology·Michela CottiniAndrea Ballotta
Feb 19, 2017·Obesity Surgery·Suriya PunchaiAli Aminian
Citations
Jan 16, 2019·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Bertha F PolegatoMarcos F Minicucci
Apr 22, 2019·European Heart Journal·Nadjib HammoudiGilles Montalescot
Feb 13, 2020·Medicine·Nicholas HemingDjillali Annane
Dec 14, 2018·Experimental and Therapeutic Medicine·Yuanli LeiShouquan Chen
Jun 14, 2019·Breathe·Serafeim Chrysovalantis KotoulasIoannis Kioumis
May 28, 2020·Frontiers in Physiology·Conor J BloxhamWalter G Thomas
Jul 20, 2018·Cardiovascular Drugs and Therapy·Ajoe John KattoorJawahar L Mehta
Nov 1, 2020·Children·Nalinikanta PanigrahySatyan Lakshminrusimha
Jan 16, 2021·Nutrients·Andrew ElagiziRichard V Milani
Dec 12, 2020·CJC Open·Ahmad HayekThomas Bochaton
Jun 15, 2021·The American Journal of Emergency Medicine·Rachana BhatJayaraj Mymbilly Balakrishnan
Aug 8, 2021·Molecules : a Journal of Synthetic Chemistry and Natural Product Chemistry·Justyna PiechockaKrystyna Szymandera-Buszka
Aug 11, 2021·Curēus·Vihitha ThotaGabriel Lerman
Sep 1, 2021·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Kim R DerespinaMegan McCabe
Sep 2, 2021·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Gilberto Fabian Hurtado-Torres
Dec 7, 2021·Annals of Internal Medicine·Rahul D PawarMichael W Donnino