1.
Intern Med
; 59(3): 373-376, 2020 Feb 01.
Artículo
en Inglés
| MEDLINE
| ID: mdl-31534090
RESUMEN
A 48-year-old man was brought to our emergency room with acute abdominal pain and systemic edema, indicating acute circulatory failure with lactic acidosis. Furosemide treatment paradoxically worsened the systemic edema and induced confusion. He had no drinking history but hardly ate legumes or meats containing thiamine. Administration of fursultiamine dramatically improved the symptoms and subsequently caused pulmonary edema. Thiamine deficiency may occur in nondrinkers with an unbalanced diet. In this condition, diuretic therapy can worsen the symptoms before thiamine supplementation by promoting the flushing of water-soluble vitamins but is needed for the management of secondary pulmonary edema after thiamine replenishment.
Asunto(s)
Beriberi/tratamiento farmacológico , Fursultiamina/efectos adversos , Fursultiamina/uso terapéutico , Edema Pulmonar/inducido químicamente , Edema Pulmonar/tratamiento farmacológico , Deficiencia de Tiamina/complicaciones , Deficiencia de Tiamina/tratamiento farmacológico , Complejo Vitamínico B/uso terapéutico , Beriberi/diagnóstico , Humanos , Masculino , Persona de Mediana Edad , Tiamina/uso terapéutico , Resultado del Tratamiento
2.
Clin Exp Rheumatol
; 37 Suppl 121(6): 164-165, 2019.
Artículo
en Inglés
| MEDLINE
| ID: mdl-31376253