Thiamine Deficiency in Self-Induced Refeeding Syndrome, an Undetected and Potentially Lethal Condition

Rapid restoration of nutrients and electrolytes after prolonged starvation could result in a life threatening condition characterized by sensory and neurological dysfunction and severe metabolic imbalance that has been designated as refeeding syndrome. Its diagnosis is frequently missed resulting in...

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Main Authors: Einat Hershkowitz, Alon Reshef, Olga Munich, Bracha Yosefi, Arie Markel
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2014/605707
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author Einat Hershkowitz
Alon Reshef
Olga Munich
Bracha Yosefi
Arie Markel
author_facet Einat Hershkowitz
Alon Reshef
Olga Munich
Bracha Yosefi
Arie Markel
author_sort Einat Hershkowitz
collection DOAJ
description Rapid restoration of nutrients and electrolytes after prolonged starvation could result in a life threatening condition characterized by sensory and neurological dysfunction and severe metabolic imbalance that has been designated as refeeding syndrome. Its diagnosis is frequently missed resulting in severe complications and even death. We describe a 25-years-old female patient with mental disorders and severe malnutrition who developed severe clinical manifestations and biochemical abnormalities characteristic of the refeeding syndrome, after restarting oral feeding on her own. Schizophrenia was later diagnosed. Increased awareness of this condition and its complications is necessary to prevent its detrimental complications.
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institution Kabale University
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publishDate 2014-01-01
publisher Wiley
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series Case Reports in Medicine
spelling doaj-art-c2496f43ad4c49a4a7a4daa2342838d52025-02-03T06:44:31ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/605707605707Thiamine Deficiency in Self-Induced Refeeding Syndrome, an Undetected and Potentially Lethal ConditionEinat Hershkowitz0Alon Reshef1Olga Munich2Bracha Yosefi3Arie Markel4Department of Clinical Nutrition, Haemek Medical Center, Afula, IsraelDepartment of Psychiatry, Haemek Medical Center, Afula, IsraelDepartment of Internal Medicine A, Haemek Medical Center, 18101 Afula, IsraelDepartment of Internal Medicine A, Haemek Medical Center, 18101 Afula, IsraelDepartment of Internal Medicine A, Haemek Medical Center, 18101 Afula, IsraelRapid restoration of nutrients and electrolytes after prolonged starvation could result in a life threatening condition characterized by sensory and neurological dysfunction and severe metabolic imbalance that has been designated as refeeding syndrome. Its diagnosis is frequently missed resulting in severe complications and even death. We describe a 25-years-old female patient with mental disorders and severe malnutrition who developed severe clinical manifestations and biochemical abnormalities characteristic of the refeeding syndrome, after restarting oral feeding on her own. Schizophrenia was later diagnosed. Increased awareness of this condition and its complications is necessary to prevent its detrimental complications.http://dx.doi.org/10.1155/2014/605707
spellingShingle Einat Hershkowitz
Alon Reshef
Olga Munich
Bracha Yosefi
Arie Markel
Thiamine Deficiency in Self-Induced Refeeding Syndrome, an Undetected and Potentially Lethal Condition
Case Reports in Medicine
title Thiamine Deficiency in Self-Induced Refeeding Syndrome, an Undetected and Potentially Lethal Condition
title_full Thiamine Deficiency in Self-Induced Refeeding Syndrome, an Undetected and Potentially Lethal Condition
title_fullStr Thiamine Deficiency in Self-Induced Refeeding Syndrome, an Undetected and Potentially Lethal Condition
title_full_unstemmed Thiamine Deficiency in Self-Induced Refeeding Syndrome, an Undetected and Potentially Lethal Condition
title_short Thiamine Deficiency in Self-Induced Refeeding Syndrome, an Undetected and Potentially Lethal Condition
title_sort thiamine deficiency in self induced refeeding syndrome an undetected and potentially lethal condition
url http://dx.doi.org/10.1155/2014/605707
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