A Case of Shoshin Beriberi Presenting as Acute Coronary Syndrome with Shock: Shoshin Beriberi Mimicking Acute Coronary Syndrome.
- Author:
Tae Jung KWON
1
;
Jin Yong HWANG
;
So Ra PARK
;
Young Ran KANG
;
Hae Young LEE
;
Chung Hwan KWAK
;
Bong Ryong CHOI
Author Information
1. Department of Internal Medicine, Gyeongsang National University College of Medicine, Jinju, Korea. jyhwang@nongae.gsnu.ac.kr
- Publication Type:Case Report
- Keywords:
Shoshin beriberi;
Acute coronary syndrome;
Alcoholism
- MeSH:
Acidosis;
Acidosis, Lactic;
Acute Coronary Syndrome*;
Alcoholism;
Anoxia;
Anuria;
Beriberi*;
Developed Countries;
Diagnosis;
Electrocardiography;
Emergencies;
Heart Failure;
Humans;
Hypotension;
Male;
Malnutrition;
Shock*;
Thiamine;
Thiamine Deficiency;
Troponin I
- From:Journal of Cardiovascular Ultrasound
2006;14(3):116-119
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cardiac beriberi is caused by thiamine deficiency. Shoshin beriberi is a rare and fulminant form of cardiac beriberi characterized by hypotension, high output heart failure, lactic acidosis and anuria. Without early recognition and immediate treatment, most of these patients will be fatal. Therefore clinical diagnosis of shoshin beriberi is most important in emergency situation. We report a case of shoshin beriberi with clinical features mimicking acute coronary syndrome. Fifty year old male patient with chronic alcoholism was presented with shock, hypoxia, right heart failure and severe acidosis. Electrocardiogram showed abnormal Q in V1-3 and mild ST elevation and level of troponin I was slightly elevated. All manifestations including lactic acidosis were dramatically subsided in 18 hours by thiamine infusion. Even in developed country, shoshin beriberi can be occurred in patients with malnutrition and/or chronic alcoholism and should be differentiated with acute coronary syndrome.
