Comparative analysis of different therapeutic approaches in the management of protein-energy malnutrition: Case reports from a clinical setting

Author:

Elendu Chukwuka1ORCID,Amaechi Dependable C.2,Jingwa Klein A.3,Elendu Tochi C.4

Affiliation:

1. Internal Medicine, Federal University Teaching Hospital, Owerri, Nigeria

2. Internal Medicine, Igbinedion University, Okada, Nigeria

3. Internal Medicine, Kazan State Medical University, Kazan, Russia

4. Internal Medicine, Imo State University, Owerri, Nigeria.

Abstract

Background: Severe protein-energy malnutrition (PEM) presents a significant clinical challenge, often compounded by comorbidities such as type 2 diabetes. This case report aims to elucidate the intricacies of managing severe PEM in conjunction with type 2 diabetes, emphasizing the importance of personalized interventions and multidisciplinary collaboration in achieving optimal outcomes. By addressing the unique challenges this complex clinical scenario poses, this report contributes valuable insights to the medical literature and guides clinicians in effectively managing similar cases. Methods: The patient, pseudonymously identified as Emma Thompson, underwent a comprehensive diagnostic evaluation to assess her symptoms’ severity and underlying causes. This included a thorough physical examination, laboratory testing, imaging studies, and collaboration with specialists to formulate a tailored treatment plan. Interventions were meticulously administered, with dosages, strengths, and durations adjusted based on ongoing assessments and patient response. Results: Implementing multidisciplinary therapeutic interventions significantly improved the patient’s nutritional status, glycemic control, and overall well-being. Objective measures such as BMI, serum albumin levels, and physical functioning showed marked improvement throughout treatment. Patient-reported outcomes indicated enhanced quality of life, reduced fatigue, and increased energy levels, underscoring the comprehensive success of the integrated therapeutic approach. Conclusion: This case report highlights the efficacy of a holistic, patient-centered approach in managing severe PEM and comorbid type 2 diabetes. Optimal outcomes were achieved by addressing the complex interplay of medical conditions through tailored interventions and multidisciplinary collaboration. The lessons from this case underscore the importance of individualized care, ongoing assessment, and long-term follow-up in enhancing patient well-being and guiding future clinical practice.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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