Document Detail

Severe acidosis and hyperdynamic circulation in a 39-year-old alcoholic.
MedLine Citation:
PMID:  9696175     Owner:  NLM     Status:  MEDLINE    
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.
S W Smith
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  16     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:    1998 Jul-Aug
Date Detail:
Created Date:  1998-10-06     Completed Date:  1998-10-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  587-91     Citation Subset:  IM    
Department of Emergency Medicine, University of Minnesota School of Medicine, Hennepin County Medical Center, Minneapolis 55415, USA.
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MeSH Terms
Acidosis / etiology
Alcoholism / complications
Beriberi / complications,  diagnosis*,  physiopathology
Blood Circulation
Cardiac Output
Shock / etiology

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