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CASE REPORT
Year : 2014  |  Volume : 3  |  Issue : 4  |  Page : 273-275

Mixed beriberi: Sub acute cardiac beriberi with neurological involvement


Department of General Medicine, Guntur Medical College and Government General Hospital, Guntur, Andhra Pradesh, India

Correspondence Address:
Pothukuchi Venkata Krishna
57-9-15, New Postal Colony, Patamata, Vijayawada - 520 010, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2277-8632.146645

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We present a case of mixed beriberi, with cardiac and neurological involvement (dry beriberi). Prolonged Thiamine deficiency causes beriberi, which is classically categorized as wet or dry; although, there is considerable overlap. In either form of beriberi, patients may complain of pain and paresthesia. This is a treatable condition sometimes with incomplete recovery, but it is probably under recognized yet increasingly common due to increasing levels of alcohol abuse. The disorder is a metabolic emergency and requires immediate treatment with intravenous thiamine. Sudden cardiac failure is common. Death occurs from right heart failure and the patient usually dies fully conscious. This patient was successfully treated with intravenous thiamine.


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