PATIENT Female, 17 FINAL DIAGNOSIS: Wernicke's encephalopathy Symptoms: Blurred vision • dizziness • nystygmus • tachycardia MEDICATION - Clinical Procedure: - Specialty: Neurology. OBJECTIVE Mistake in diagnosis. BACKGROUND Wernicke's encephalopathy (WE) is an acute and life-threatening illness which is not only seen in alcoholics, but also in persons with poor nutrition lacking thiamine...

Still, he states that he has often searched for the parasite in cases of ansemic women in Cairo without finding it. The average duration of illness appears to be about three to five years. Of 29 cases, 13 had been ill for four years, six for five years, three for six years, two for eight years, two for nine years, two for eleven years, and one for upwards of fifteen years. Dr. Sandwith lays som...

Thiamine (vitamin B1) serves as an important cofactor in body metabolism and energy production. It is related with the biosynthesis of neurotransmitters and the production of substances used in defense against oxidant stress. Thus, a lack of thiamine affects several organ systems, in particular the cardiovascular and nervous system. The cardiac insufficiency caused by thiamine deficiency is kno...

During a 3 year period, 1987-1989, we encountered three major complications associated with parenteral nutrition leading to congestive cardiac failure--acute beriberi, right atrial and superior vena caval thrombosis, and fungal endocarditis. Unrecognized, these are invariably fatal. Persistent vomiting from intestinal obstruction led to the development of thiamine deficiency in the patient with...