Contents Menu

Severe Matabolic Acidosis due to Thiamine Deficiency during Intravenous Hyperalimentation : A Case Report and Review of the Literature

The bulletin of the Yamaguchi Medical School Volume 46 Issue 3-4 Page 127-133
published_at 1999-12
A020046000312.pdf
[fulltext] 620 KB
Title
Severe Matabolic Acidosis due to Thiamine Deficiency during Intravenous Hyperalimentation : A Case Report and Review of the Literature
Creators Nakamura Masayuki
Creators Mizuta Eishi
Creators Morioka Hideshi
Creators Nakamura Mitsuo
Source Identifiers
Creator Keywords
Severe metabolic acidosis Thiamine deficiency Intravenous hyperalimentation
An 86-year-old woman, who underwent biliary stenting for bile duct cancer 3 months before, had liver metastasis and was readmitted to our department because of anorexia. Intravenous hyperlimentation (IVH) was administered without vitamin supplementation. Nineteen days after the start of IVH, drowsiness, tachypnea and hypotension with severe metabolic acidosis suddenly manifested. The discontinuation of IVH and the administration of sodium bicarbonate and thiamine corrected the acidosis. Seven days later, IVH with the same contents as the previous one was readministered with daily thiamine supplementation, but no episode similar to the previous one occurred. We daily thiamine supplementation, but no episode similar to the previous one occurred. We believe that severe metabolic acidosis in this patient was due to thiamine deficiency.
Subjects
医学 ( Other)
Languages eng
Resource Type departmental bulletin paper
Publishers Yamaguchi University Graduate School of Medicine
Date Issued 1999-12
File Version Version of Record
Access Rights open access
Relations
[ISSN]0513-1812
[NCID]AA00594272
Schools 医学部