Wernicke’s encephalopathy mimicking multiple sclerosis in a young female patient post-bariatric gastric sleeve surgery
| Autor: | Mahesh Krishnamurthy, Maureen C. Farrell, Divya Lal |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Diplopia
medicine.medical_specialty Weakness Sleeve gastrectomy thiamine deficiency wernicke’s encephalopathy (we) business.industry Multiple sclerosis medicine.medical_treatment Encephalopathy Case Report b1 deficiency medicine.disease RC31-1245 Surgery Wernicke's encephalopathy multiple sclerosis (ms) Internal Medicine medicine Thiamine Medical history medicine.symptom bariatric sleeve gastrectomy business |
| Zdroj: | Journal of Community Hospital Internal Medicine Perspectives, Vol 11, Iss 5, Pp 658-661 (2021) Journal of Community Hospital Internal Medicine Perspectives article-version (VoR) Version of Record |
| ISSN: | 2000-9666 |
| Popis: | We describe a case of Wernicke’s encephalopathy secondary to thiamine (B1) deficiency in a patient status post-bariatric sleeve gastrectomy. The presenting symptoms of new-onset weakness, diplopia, and confusion in a young female patient raised suspicion for multiple sclerosis (MS), but given a history of bariatric surgery, thiamine levels were checked, revealing significant Vitamin B1 (thiamine) deficiency. This case highlights the importance of thorough history taking, as a misdiagnosis of MS in this case could have resulted in irreversible neurological deterioration and hematological and infectious consequences associated with the inappropriate administration of disease-modifying therapies. It is also important to note that severe vitamin deficiency occurred despite medication compliance. |
| Databáze: | OpenAIRE |
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