Cardiogenic shock and hyperlactatemia in a patient with Shoshin Beriberi in a general hospital in Lima, Peru. A case report

Zegarra Piérola J.; Cornejo Valdivia C.; Sante Farfán G.; Mezones Vega M.; Callo Rodrigo D.; Lévano Diaz L.; Sotelo Olivera M.; Beramendi Torres Y. · Revista Medica Herediana (2024) · DOI: 10.20453/rmh.v35i4.5211

Resumen

Shoshin Beriberi is a disease caused by thiamine deficiency and is characterized by acute and fulminant heart failure. We present the case of a 22-year-old woman with a history of anorexia nervosa and systemic tuberculosis who presented with abdominal pain, vomiting, oral intolerance, and prolonged fasting. She was admitted for 40 days in a general ward receiving parenteral nutrition without thiamine. She was transferred to the Intensive Care Unit (ICU) in cardiogenic shock refractory to noradrenaline, vasopressin, and dobutamine with a lactate level in serum of 13.8 mmol/l. The diagnosis of Shoshin Beriberi was considered, and 300 mg of intravenous thiamine was administered with rapid response, achieving hemodynamic stability. The patient was discharged from the ICU and the hospital uneventfully. © Revista Médica Herediana.

Instituciones: Universidad Peruana Cayetano Heredia