| Severe acidosis and hyperdynamic circulation in a 39-year-old alcoholic. | |
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MedLine Citation:
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PMID: 9696175 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A case of acute fulminant cardiovascular beriberi, or "shoshin beriberi," is presented. Beriberi is classified as "dry" (neurologic) or "wet" (cardiovascular) and may be mixed. "Wet" beriberi refers to a spectrum of clinical manifestations ranging from a hyperdynamic state with high output cardiac failure to fulminant failure with collapsed peripheral circulation, lactic acidosis, and shock. Beriberi is probably much more common than previously recognized. Beriberi is caused by thiamine deficiency and should be suspected in alcoholics who present with unexplained lactic acidosis, a hyperdynamic state, high output cardiac failure, or cardiogenic shock without electrocardiographic (EKG) evidence of myocardial necrosis. Shoshin beriberi is rapidly fatal without immediate treatment with thiamine. |
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Authors:
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S W Smith |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of emergency medicine Volume: 16 ISSN: 0736-4679 ISO Abbreviation: J Emerg Med Publication Date: 1998 Jul-Aug |
Date Detail:
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Created Date: 1998-10-06 Completed Date: 1998-10-06 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8412174 Medline TA: J Emerg Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 587-91 Citation Subset: IM |
Affiliation:
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Department of Emergency Medicine, University of Minnesota School of Medicine, Hennepin County Medical Center, Minneapolis 55415, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acidosis
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etiology Adult Alcoholism / complications Beriberi / complications, diagnosis*, physiopathology Blood Circulation Cardiac Output Humans Male Shock / etiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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