From Collapse to Recovery: Thiamine Intervention in Cardiac Beriberi.

Document Type

Article

Publication Date

2-14-2024

Publication Title

Cureus

Abstract

This case report details the challenging presentation of a 68-year-old patient of cardio-circulatory collapse with pericardial effusion and recurrent pleural effusions. Hypotension did not respond to conventional intensive care measures. Despite comprehensive investigations, the underlying cause remained unidentified until intravenous thiamine replacement therapy was administered, restoring normotension and preventing pericardial or pleural effusion recurrence. The case underscores the importance of early recognition of thiamine deficiency in patients with pericardial and pleural effusions or critical illness, emphasizing the need to expand vigilance for thiamine deficiency and consider replacement therapy without a definitive diagnosis.

Volume

16

Issue

2

First Page

e54179

DOI

10.7759/cureus.54179

ISSN

2168-8184

PubMed ID

38496114

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