title: Scurvy in an alcoholic patient treated with intravenous vitamins.
abstract: Vitamin C deficiency is rare in developed countries but there is an increased prevalence in chronic alcohol abusers. In the UK, it is common practice to treat patients with chronic alcoholism who are admitted to hospital with intravenous vitamins B1, B2, B3, B6 and C for 2-3 days, followed by oral thiamine and vitamin B-compound tablets. This is a case of a 57-year-old man with a history of chronic alcoholism and chronic obstructive lung disease who was admitted to the intensive care unit for pneumonia requiring ventilatory support. He was given high doses of intravenous vitamins B1, B2, B3, B6 and C for 3 days then oral thiamine and vitamin B compound tablets but developed scurvy 4 days later. He was restarted on oral vitamin C supplementation and showed signs of improvement within 3 days of treatment.
authors.affiliation: Department of Hepatology, Addenbrooke's Cambridge University Hospital, Cambridge, Cambridgeshire, UK.
authors.forename: John
authors.initials: J
authors.lastname: Ong
authors.forename: Rabinder
authors.initials: R
authors.lastname: Randhawa
mesh_terms: D000437:Alcoholism / Q000150:complications*; D001205:Ascorbic Acid / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D009536:Niacinamide / Q000627:therapeutic use; D018410:Pneumonia, Bacterial / Q000150:complications; D012256:Riboflavin / Q000627:therapeutic use; D012614:Scurvy / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D013831:Thiamine / Q000627:therapeutic use; D025101:Vitamin B 6 / Q000627:therapeutic use; D014803:Vitamin B Complex / Q000627:therapeutic use*; D014815:Vitamins / Q000627:therapeutic use
chemical_list: D014815:Vitamins; D014803:Vitamin B Complex; D009536:Niacinamide; D025101:Vitamin B 6; D001205:Ascorbic Acid; D012256:Riboflavin; D013831:Thiamine
references.citation: J Public Health (Oxf). 2008 Dec;30(4):456-60
references.pmid: 18812436
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references.pmid: 3954834