BMJ case reports, 2014-06, Vol.2014, p.bcr2014205264
2014
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Details
- Autor(en) / Beteiligte
- Titel
- Severe lactic acidosis and multiorgan failure due to thiamine deficiency during total parenteral nutrition
- Ist Teil von
- BMJ case reports, 2014-06, Vol.2014, p.bcr2014205264
- Ort / Verlag
- England: BMJ Publishing Group LTD
- Erscheinungsjahr
- 2014
- Quelle
- MEDLINE
- Beschreibungen/Notizen
- A 16-year-old perioperative paediatric patient presented with refractory lactic acidosis and multiorgan failure due to thiamine-deficient total parenteral nutrition during a recent national multivitamin shortage. Urgent empiric administration of intravenous thiamine resulted in prompt recovery from this life-threatening condition. Despite readily available treatment, a high index of suspicion is required to prevent cardiovascular collapse and mortality.
- Sprache
- Englisch
- Identifikatoren
- ISSN: 1757-790XeISSN: 1757-790XDOI: 10.1136/bcr-2014-205264Titel-ID: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4054102
- Format
- –
- Schlagworte
- Abdomen, Acidosis, Acidosis, Lactic - blood, Acidosis, Lactic - diagnosis, Acidosis, Lactic - etiology, Adolescent, Anemia, Ataxia, Dehydrogenases, Diagnosis, Differential, Drug dosages, Drug stores, Humans, Hydrogen-Ion Concentration, Hyperglycemia, Insulin, Intensive care, Kidneys, Lactic Acid - blood, Male, Multiple Organ Failure - diagnosis, Multiple Organ Failure - etiology, Nutrition, Other, Parenteral nutrition, Parenteral Nutrition, Total, Patients, Reminder of Important Clinical Lesson, Shortages, Thiamine Deficiency - complications, Thiamine Deficiency - therapy, Thrombocytopenia, USA/Canada, Vitamin B, Vitamin deficiency