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Cardiac Beriberi (Shoshin Beriberi) Caused by Excessive Intake of Isotonic Drink
Author(s) -
Fujita Ichiro,
Sata Takeyoshi,
Gondo Kenjiro,
Fukazawa Mitsuru,
Kukita Johji,
Zaitsu Akinori,
Yoshitake Junichi,
Ueda Kohji
Publication year - 1992
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/j.1442-200x.1992.tb00988.x
Subject(s) - medicine , beriberi , hypoxemia , ards , cardiogenic shock , shock (circulatory) , pulmonary edema , heart failure , thiamine , respiratory failure , respiratory distress , cardiology , anesthesia , hyponatremia , pulmonary insufficiency , lung , myocardial infarction
A 21 month old female had voluntarily ingested 0.5–1.51 of isotonic sports drink daily from 10 months of age. She developed hyponatremia and beriberi heart disease, which resulted in metabolic acidosis and cardiogenic shock (shoshin beriberi). Mechanical ventilation was applied for pulmonary edema. Right heart failure was improved after administering vitamin Bi. However, 5 days after the shock, hypoxemia and diffuse radiographic infiltrates progressed, and a diagnosis of adult respiratory distress syndrome (ARDS) was made. After the occurrence of an air leak, the patient died of respiratory failure. The cardiogenic shock and pulmonary edema due to cardiac beriberi may have triggered the ARDS.