Open Access"Dry" and "wet" beriberi mimicking critical illness polyneuropathy
Author(s) -
S Rama Prakasha,
Aya Mustafa,
Shashidhar Baikunje,
K. Subramanyam
Publication year - 2013
Publication title -
annals of indian academy of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.427
H-Index - 31
eISSN - 1998-3549
pISSN - 0972-2327
DOI - 10.4103/0972-2327.120467
Subject(s) - medicine , polyneuropathy , thiamine , shock (circulatory) , metabolic acidosis , beriberi , acidosis , thiamine deficiency , heart failure , cardiology , anesthesia , surgery , intensive care medicine
Three cases with manifestations of right heart failure, shock, metabolic acidosis, and renal failure in varying combination were admitted with paraparesis. Nerve conduction study suggested predominantly motor and mainly axonal type of neuropathy. Rapid reversal of shock, acidosis, and multi-organ dysfunction with timely infusion of thiamine was followed by the complete neurological recovery.