From Collapse to Recovery: Thiamine Intervention in Cardiac Beriberi

This case report details the challenging presentation of a 68-year-old patient of cardio-circulatory collapse with pericardial effusion and recurrent pleural effusions. Hypotension did not respond to conventional intensive care measures. Despite comprehensive investigations, the underlying cause rem...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 16; no. 2; p. e54179
Main Authors Alamro, Yazan, Arshad, Khurram, Latif, Rabia, Al Akeel, Mohannad, Mozaffari, Mohammad Ali
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 14.02.2024
Subjects
Adenosine
Anemia
Blood
Cardiac arrhythmia
Cardiomyopathy
Drug dosages
Edema
Heart failure
Hemodynamics
Hemoglobin
Hypotension
Internal medicine
Malnutrition
Medicine
Patients
Peptides
Pleural effusion
Recovery (Medical)
Ultrasonic imaging
Vitamin B
Vitamin deficiency
United States > US
cardio-circulatory collapse
pericardial effusion
case report
thiamine deficiency
cardiac beriberi
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Summary:This case report details the challenging presentation of a 68-year-old patient of cardio-circulatory collapse with pericardial effusion and recurrent pleural effusions. Hypotension did not respond to conventional intensive care measures. Despite comprehensive investigations, the underlying cause remained unidentified until intravenous thiamine replacement therapy was administered, restoring normotension and preventing pericardial or pleural effusion recurrence. The case underscores the importance of early recognition of thiamine deficiency in patients with pericardial and pleural effusions or critical illness, emphasizing the need to expand vigilance for thiamine deficiency and consider replacement therapy without a definitive diagnosis.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.54179