title: [Shoshin beriberi complicating severe pulmonary hypertension: a case report].
abstract: A 44-year-old male was admitted to our hospital for dyspnea, associated with severe pulmonary hypertension. The patient fell into a shock state on the next day. Hemodynamic measurements revealed high output heart failure with low peripheral vascular resistance. We suspected shoshin beriberi, a fulminant form of cardiac beriberi, by ruling out other common causes of pulmonary hypertension. The rapid recovery after intravenous thiamine administration and the patient's history of improper diet strongly supported the diagnosis. The present case of shoshin beriberi complicating severe pulmonary hypertension shows that history taking is important in elucidating the etiology and selecting the correct treatment.
authors.affiliation: Cardiovascular Division, Kansai Rosai Hospital, Inabaso 3-1-69, Amagasaki, Hyogo 660-8511. yugotou-ham@umin.ac.jp
authors.forename: Yuko
authors.initials: Y
authors.lastname: Goto
authors.forename: Masaki
authors.initials: M
authors.lastname: Awata
authors.forename: Masaaki
authors.initials: M
authors.lastname: Uematsu
authors.forename: Masamichi
authors.initials: M
authors.lastname: Yano
authors.forename: Takakazu
authors.initials: T
authors.lastname: Morozumi
authors.forename: Jun-ichi
authors.initials: J
authors.lastname: Kotani
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Watanabe
authors.forename: Toshinari
authors.initials: T
authors.lastname: Onishi
authors.forename: Osamu
authors.initials: O
authors.lastname: Iida
authors.forename: Fusako
authors.initials: F
authors.lastname: Sera
authors.forename: Shinsuke
authors.initials: S
authors.lastname: Nanto
authors.forename: Seiki
authors.initials: S
authors.lastname: Nagata
mesh_terms: D000328:Adult; D001602:Beriberi / Q000188:drug therapy* / Q000209:etiology*; D004562:Electrocardiography; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications*; D008297:Male; D012131:Respiratory Insufficiency / Q000150:complications; D012720:Severity of Illness Index; D013831:Thiamine / Q000627:therapeutic use*; D014803:Vitamin B Complex / Q000627:therapeutic use*
chemical_list: D014803:Vitamin B Complex; D013831:Thiamine