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We report the case of a patient with heart failure caused by beriberi, with involution of the acquired signs and symptoms after receiving thiamine. Beriberi, a disease caused by thiamine deficiency, has 2 major clinical presentations, the wet and the dry form. Wet beriberi is characterized by signs and symptoms of high output heart failure, due to retention of sodium and water, peripheral vasodilation, and biventricular failure. Although it is an uncommon cause of heart failure, thiamine deficiency may be present in the following indivi- duals: patients using high doses of loop diuretics; patients with diarrhea; patients undergoing peritoneal dialysis or hemodialysis; pa- tients with parenteral nutrition; patients with thyrotoxicosis; and alco- holics. We report the case of a patient with heart failure, whose signs and symptoms subsided after being medicated with thiamine.

Generalized edema and hyperdynamic circulation. A possible case of beriberi.