Resurgence of Shoshin beriberi during the COVID-19 pandemic.

Autor:	Govind K; Department of Internal Medicine, University of KwaZulu-Natal, Durban, South Africa. Email: kamal.govind04@gmail.com., Gaskin GL; Department of Internal Medicine, University of KwaZulu-Natal, Durban, South Africa., Naidoo DP; Department of Cardiology, University of KwaZulu-Natal, Durban, South Africa. Email: naidood@ukzn.ac.za.
Jazyk:	angličtina
Zdroj:	Cardiovascular journal of Africa [Cardiovasc J Afr] 2023 Jan-Apr 23; Vol. 34 (1), pp. 40-43. Date of Electronic Publication: 2022 Dec 05.
DOI:	10.5830/CVJA-2021-051
Abstrakt:	This report describes two patients who presented with severe type B lactic acidosis and shock, initially thought to be due to bowel ischaemia/myocardial infarction and pulmonary sepsis, respectively. This led to a delay in the diagnosis of thiamine deficiency. In both cases there was a dramatic response to intravenous thiamine, confirming the diagnosis of Shoshin beriberi. Both patients admitted to drinking home-brewed alcohol during the time of COVID-19 restrictions on alcohol consumption. These cases highlight the need for early diagnosis and immediate empirical treatment with intravenous thiamine in patients presenting with unexplained severe metabolic acidosis and circulatory shock.
Databáze:	MEDLINE
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