Abstract
Thiamine deficiency is commonly associated with malnutrition, alcoholism and bariatric surgery. Thiamine deficiency can manifest in different ways, especially in developing countries: as peripheric neuropathy, as Wernicke encephalopathy or as beriberi disease. The authors present the case of a 72-year-old male, with a hiatal hernia that led to thiamine deficiency due to malnutrition. The initial clinical manifestation was an ST-elevation myocardial infarct equivalent, an ECG with a shark-fin pattern that evolved to a Wellens type B pattern. The patient evolved with severe altered mental status. A Wernicke encephalopathy diagnosis was confirmed by MRI; the patient was medicated with high-dose thiamine, with quick recovery, both neurologic and cardiac. The clinical history and response to treatment confirm the diagnosis of Wernicke encephalopathy and beriberi disease.
Subject
Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine
Reference12 articles.
1. Wiley KD, Gupta M. Vitamin B1 thiamine deficiency. In: StatPearls [Internet]. Treasure Island: StatPearls Publishing; 2022.
2. Yamashita N, Aikawa T. Dutch research on beriberi: I. Christiaan Eijkman's research and evaluation of Kanehiro Takaki's diet reforms of the Japanese navy. Nihon Ishigaku Zasshi 2017;63:3-21.
3. Kuzume D, Inoue Y, Morimoto Y, et al. [Diuretics-induced beriberi polyneuropathy: a case report].[Article in Japanese]. Rinsho Shinkeigaku 2022;62:641-3.
4. Daly MJ, Dixon LJ, A case of ST-elevation and nystagmus--when coronary thrombosis is not to blame. QJM 2009;102:737-9.
5. Kawano H, Koide Y, Toda G, Yanok. ST-segment elevation of electrocardiogram in a patient with Shoshin beriberi. Intern Med 2005;44:578-85.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献