An ex-intravenous drug addict with confusion and apathy.

作者: Koon H Chan , Raymond TF Cheung , Gardian CY Fong , Shu L Ho

DOI: 10.12968/HOSP.2002.63.4.2047

关键词: EncephalopathyConfusionIntravenous drugAddictionPediatricsIntensive care unitDiseaseApathyMedicineSurgeryParenteral nutrition

摘要: Wernicke's encephalopathy is an acute neurological disease, which the result of thiamine deficiency. Cases in people who are not alcoholics increasingly recognized. This case reports a Chinese man was probably poorly nourished as his intravenous drug addiction. During initial admission to intensive care unit, he given parenteral nutrition containing high carbohydrate content without vitamin supplementation. Three weeks after discharge, readmitted because had been suffering confusion for 1 week.

参考文章(6)
Fuentes R, Toro J, Sacks C, [Wernicke's encephalopathy and dialysis: report of two cases]. Revista Medica De Chile. ,vol. 125, pp. 577- ,(1997)
Andrea L Gropman, William D Gaillard, Pamela Campbell, Sampath V Charya, Wernicke's encephalopathy due to self starvation in a child The Lancet. ,vol. 351, pp. 1704- 1705 ,(1998) , 10.1016/S0140-6736(05)77742-4
W. Freiesleben, F. Söylemezoglu, J. Lowe, R. C. Janzer, P. Kleihues, Wernicke's encephalopathy with ballooned neurons in the mamillary bodies: an immunohistochemical study. Neuropathology and Applied Neurobiology. ,vol. 23, pp. 36- 42 ,(1997) , 10.1111/J.1365-2990.1997.TB01183.X
M Gallucci, A Bozzao, A Splendiani, C Masciocchi, R Passariello, Wernicke encephalopathy: MR findings in five patients. American Journal of Roentgenology. ,vol. 155, pp. 1309- 1314 ,(1990) , 10.2214/AJR.155.6.2122685
FUMIO OTSUKA, KATSUHIKO TADA, TOSHIO OGURA, NOBUHIKO HAYAKAWA, YUKARI MIMURA, TAKAYOSHI YAMAUCHI, NANAKO INOUE, HIROFUMI MAKINO, TAKAFUMI KUDO, Gestational thyrotoxicosis manifesting as wernicke encephalopathy: a case report. Endocrine Journal. ,vol. 44, pp. 447- 452 ,(1997) , 10.1507/ENDOCRJ.44.447
James B. Reuler, Donald E. Girard, Thomas G. Cooney, Wernicke's Encephalopathy New England Journal of Medicine. ,vol. 312, pp. 1035- 1039 ,(1985) , 10.1056/NEJM198504183121606