Severe anorexia nervosa in a 20-year-old male with pericardial effusion and cortical atrophy.
This case report describes a 20-year-old man with a severe presentation of anorexia nervosa. His case is unique in that he presented at 49% of his ideal body weight and had a body mass index (BMI) of 11.59. In addition, he had cognitive slowing on exam and had cortical atrophy on a head CT. Other medical complications included pericardial tamponade that was treated with an open window pericardiocentesis, hepatitis, and anemia. He was treated nutritionally, first with a Dobb-Hoff tube and then with oral feedings, as well as had group, individual, and family therapies. He responded well to treatment, his labs normalized and he was discharged at 75% of his ideal body weight after a weight increase of 40 pounds and after 106 days of hospitalization at our facility. In addition, a head CT was repeated and the cortical atrophy had resolved.
University of Florida.
Michael
M
Shapiro
University of Florida.
Amelia A
AA
Davis
University of Florida.
Mathew L
ML
Nguyen
D000856:Anorexia Nervosa / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D001284:Atrophy; D015992:Body Mass Index; D002305:Cardiac Tamponade / Q000209:etiology / Q000523:psychology / Q000601:surgery; D002540:Cerebral Cortex / Q000473:pathology*; D003071:Cognition; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D004750:Enteral Nutrition / Q000379:methods*; D006760:Hospitalization; D006801:Humans; D008297:Male; D020519:Pericardiocentesis / Q000379:methods; D011615:Psychotherapy, Group / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult
anorexia; atrophy; complications; effusion; male; medical