Shoshin beriberi in an AIDS patient with end-stage renal disease.
Asymptomatic cardiomegaly and subsequent fulminant pulmonary edema developed in an AIDS patient with end-stage renal disease who had no prior history of cardiac disease. Intravenous thiamine administration led to dramatic resolution of both obtundation and cardiovascular collapse within 4 hours. Prolonged thiamine administration led to decreased cardiomegaly. These findings are consistent with Shoshin beriberi.
Cage
J B
JB
Division of Cardiology, University of Tennessee, Memphis, USA.
Wall
B M
BM
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications* / Q000175:diagnosis; D001602:Beriberi / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006332:Cardiomegaly / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D003937:Diagnosis, Differential; D004452:Echocardiography; D006678:HIV; D006801:Humans; D007275:Injections, Intravenous; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008297:Male; D010531:Peritoneal Dialysis, Continuous Ambulatory; D013902:Radiography, Thoracic; D013831:Thiamine / Q000008:administration & dosage
D013831:Thiamine