Thiamine Deficiency as a Cause for Acute Circulatory Failure: An Overlooked Association in Western CountriesNovel Teaching Points
A 42 year-old patient presented with circulatory failure and lactic acidosis. Clinical features, later coupled with biological tests, led to the diagnosis of wet beriberi syndrome and scurvy. Echocardiography showed a pattern of thiamine deficiency with high cardiac output and low vascular resistanc...
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doaj-0f06680a297542c59c6effccd2d012dc2020-12-01T04:06:13ZengElsevierCJC Open2589-790X2020-11-0126716718Thiamine Deficiency as a Cause for Acute Circulatory Failure: An Overlooked Association in Western CountriesNovel Teaching PointsAhmad Hayek, MD0Mourad Djabou1Nathan Mewton, MD, PhD2Eric Bonnefoy-Cudraz, MD, PhD3Thomas Bochaton, MD, PhD4Cardiac Intensive Care Unit, Louis Pradel Hospital, Bron, France; Claude Bernard University Lyon 1, Lyon, France; Corresponding author: Dr Ahmad Hayek, Hôpital cardiologique Louis Pradel, Unité d'urgence et soins intensifs cardiologiques, 28 avenue Doyen Lépine, 69677 Bron, France. Tel.: 0472357549.Cardiac Intensive Care Unit, Louis Pradel Hospital, Bron, France; Claude Bernard University Lyon 1, Lyon, FranceClaude Bernard University Lyon 1, Lyon, France; Investigation Clinical Center, Louis Pradel Hospital, Bron, FranceCardiac Intensive Care Unit, Louis Pradel Hospital, Bron, France; Claude Bernard University Lyon 1, Lyon, FranceCardiac Intensive Care Unit, Louis Pradel Hospital, Bron, France; Claude Bernard University Lyon 1, Lyon, FranceA 42 year-old patient presented with circulatory failure and lactic acidosis. Clinical features, later coupled with biological tests, led to the diagnosis of wet beriberi syndrome and scurvy. Echocardiography showed a pattern of thiamine deficiency with high cardiac output and low vascular resistance. The patient's condition and biological parameters immediately improved after treatment injections of thiamine. Wet BeriBeri is often overlooked in western countries and is a diagnosis that must be considered based on history, and clinical and echocardiographical findings. Résumé: Un patient âgé de 42 ans a présenté une insuffisance circulatoire et une acidose lactique. Ses caractéristiques cliniques et les résultats de laboratoire obtenus ultérieurement ont mené au diagnostic de béribéri humide et de scorbut. Une échocardiographie a révélé un profil indiquant une carence en thiamine accompagnée d’un débit cardiaque élevé et d’une faible résistance vasculaire. L’état et les paramètres biologiques du patient se sont améliorés immédiatement après l’administration de thiamine par injection. Le diagnostic de béribéri humide est souvent négligé dans les pays occidentaux, mais il faut en tenir compte en présence des signes appropriés : antécédents du patient, observations cliniques et résultats à l’échocardiographie.http://www.sciencedirect.com/science/article/pii/S2589790X20301062 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ahmad Hayek, MD Mourad Djabou Nathan Mewton, MD, PhD Eric Bonnefoy-Cudraz, MD, PhD Thomas Bochaton, MD, PhD |
spellingShingle |
Ahmad Hayek, MD Mourad Djabou Nathan Mewton, MD, PhD Eric Bonnefoy-Cudraz, MD, PhD Thomas Bochaton, MD, PhD Thiamine Deficiency as a Cause for Acute Circulatory Failure: An Overlooked Association in Western CountriesNovel Teaching Points CJC Open |
author_facet |
Ahmad Hayek, MD Mourad Djabou Nathan Mewton, MD, PhD Eric Bonnefoy-Cudraz, MD, PhD Thomas Bochaton, MD, PhD |
author_sort |
Ahmad Hayek, MD |
title |
Thiamine Deficiency as a Cause for Acute Circulatory Failure: An Overlooked Association in Western CountriesNovel Teaching Points |
title_short |
Thiamine Deficiency as a Cause for Acute Circulatory Failure: An Overlooked Association in Western CountriesNovel Teaching Points |
title_full |
Thiamine Deficiency as a Cause for Acute Circulatory Failure: An Overlooked Association in Western CountriesNovel Teaching Points |
title_fullStr |
Thiamine Deficiency as a Cause for Acute Circulatory Failure: An Overlooked Association in Western CountriesNovel Teaching Points |
title_full_unstemmed |
Thiamine Deficiency as a Cause for Acute Circulatory Failure: An Overlooked Association in Western CountriesNovel Teaching Points |
title_sort |
thiamine deficiency as a cause for acute circulatory failure: an overlooked association in western countriesnovel teaching points |
publisher |
Elsevier |
series |
CJC Open |
issn |
2589-790X |
publishDate |
2020-11-01 |
description |
A 42 year-old patient presented with circulatory failure and lactic acidosis. Clinical features, later coupled with biological tests, led to the diagnosis of wet beriberi syndrome and scurvy. Echocardiography showed a pattern of thiamine deficiency with high cardiac output and low vascular resistance. The patient's condition and biological parameters immediately improved after treatment injections of thiamine. Wet BeriBeri is often overlooked in western countries and is a diagnosis that must be considered based on history, and clinical and echocardiographical findings. Résumé: Un patient âgé de 42 ans a présenté une insuffisance circulatoire et une acidose lactique. Ses caractéristiques cliniques et les résultats de laboratoire obtenus ultérieurement ont mené au diagnostic de béribéri humide et de scorbut. Une échocardiographie a révélé un profil indiquant une carence en thiamine accompagnée d’un débit cardiaque élevé et d’une faible résistance vasculaire. L’état et les paramètres biologiques du patient se sont améliorés immédiatement après l’administration de thiamine par injection. Le diagnostic de béribéri humide est souvent négligé dans les pays occidentaux, mais il faut en tenir compte en présence des signes appropriés : antécédents du patient, observations cliniques et résultats à l’échocardiographie. |
url |
http://www.sciencedirect.com/science/article/pii/S2589790X20301062 |
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