1.
BMJ Case Rep
; 20142014 Jun 03.
Artículo
en Inglés
| MEDLINE
| ID: mdl-24895398
RESUMEN
A 16-year-old perioperative paediatric patient presented with refractory lactic acidosis and multiorgan failure due to thiamine-deficient total parenteral nutrition during a recent national multivitamin shortage. Urgent empiric administration of intravenous thiamine resulted in prompt recovery from this life-threatening condition. Despite readily available treatment, a high index of suspicion is required to prevent cardiovascular collapse and mortality.