[A case of wet beriberi].
The AA. report a case of thymine acute deficiency in a 35 year old chronic alcoholic and malnourished male, who was admitted to the hospital because of high-output heart failure, peripheral polyneuropathy, cortico-cerebellar atrophy (associated with RMN), ataxia and peripheral edema. The diagnosis of wet Beri-beri combined with Wernicke-Korsakoff syndrome was made and appropriate therapy with pulse daily dose of parenteral thymine instituted. At the fifth day of therapy the cardio-circulatory hyperkinetic syndrome was markedly improved and after three weeks neurological damage was also alleviated. The AA. outline the importance of early diagnosis and treatment for this form of high-output heart failure, which has a poor prognosis and, if left untreated, can determine the death of the patient in a few days.
Borghi
E
E
Maurini
V
V
Roventini
L
L
Schembri
S
S
Vecce
R
R
Giomi
N
N
Cantini
R
R
Rindi
M
M
Carnicelli
A
A
D000328:Adult; D000437:Alcoholism / Q000150:complications* / Q000503:physiopathology; D001602:Beriberi / Q000150:complications* / Q000503:physiopathology; D006801:Humans; D008297:Male; D014899:Wernicke Encephalopathy / Q000150:complications* / Q000503:physiopathology
Su di un caso di beri-beri umido.