Shoshin beriberi: a rare diagnostic problem.
نویسندگان
چکیده
A 30 year old man with a 15 year history of alcohol abuse presented with symptoms and signs of circulatory shock, severe disturbances of renal and liver functions, and metabolic acidosis. The cardiovascular and metabolic features were attributable to Shoshin beriberi. He recovered completely after treatment with thiamine.
منابع مشابه
Clinical History and Colliquative Myocytolysis Are Keys to the Diagnosis of Shoshin Beriberi
Cardiovascular beriberi presents as either the fulminant (Shoshin beriberi) or chronic form. Shoshin beriberi is a rare disease that may lead to a fatal outcome if the patient does not receive appropriate treatment. In the present report, we describe the case of a 66-year-old man presenting with leg edema and dyspnea at rest. Clinical presentations were nonalcoholic Shoshin beriberi and lactate...
متن کاملCardiac beriberi: morphological findings in two fatal cases
Cardiovascular beriberi is categorized into two main groups, according to its cause: alcoholic and non-alcoholic (dietary). Cardiovascular beriberi can also be divided into a fulminant form (Shoshin beriberi) and a chronic form. Shoshin beriberi is characterized by hypotension, tachycardia, and lactic acidosis and is mainly encountered in non-alcoholic patients in Asian countries, although it h...
متن کاملST-segment elevation of electrocardiogram in a patient with Shoshin beriberi.
We report a case of a 58-year-old man with Shoshin beriberi who demonstrated ST-segment elevation and myocardial damage without coronary artery stenosis. The patient subsequently recovered with thiamine treatment. We conclude that it is important to consider Shoshin beriberi as part of the differential diagnosis in patients with shock and ST-segment elevation.
متن کاملFulminant beriberi heart disease with lactic acidosis: presentation of a case with evaluation of left ventricular function and review of pathophysiologic mechanisms.
Cardiac beriberi is considered a rare disease in western society. A patient with fulminant Shoshin-type beriberi was studied in the acute phase and found to have severe metabolic acidosis, high output biventricular failure, and markedly low systemic vascular resistance. Red blood cell transketolase activity was abnormally low. Following treatment with thiamine, diuretics, digitalis and oxygen, ...
متن کاملCASE REPORT Fulminant Beriberi Heart Disease with Lactic Acidosis: Presentation of a Case with Evaluation of Left Ventricular Function and Review of Pathophysiologic Mechanisms
Cardiac beriberi is considered a rare disease in western society. A patient with fulminant Shoshin-type beriberi was studied in the acute phase and found to have severe metabolic acidosis, high output biventricular failure, and markedly low systemic vascular resistance. Red blood cell transketolase activity was abnormally low. Following treatment with thiamine, diuretics, digitalis and oxygen, ...
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عنوان ژورنال:
- British heart journal
دوره 52 6 شماره
صفحات -
تاریخ انتشار 1984