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[Scurvy in intensive care despite vitamin supplementation]
J-L Perret1, D Lagauche, J-C Favier
1Fédération de médecine, HIA Legoust, Metz-Armee. Jlucperret@infonie.fr
Introduction:
Scurvy can occur in hospitalized patients despite vitamin supplementation.
Observation:
A 63 Year-old patient who had spent several weeks in intensive care developed an unexplained anemia and ecchymoses. Despite daily administration of 130 mg/day of vitamin C since his admission, his ascorbic acid blood levels had collapsed. Administration of 1g/day relieved the symptoms within four weeks.
Discussion:
Whether a deficiency had existed prior to admission or not, scurvy developed during the week of intensive care despite parenteral nutrition supplying a daily dose of 130 mg of vitamin C. Such deficiencies decompensated in surgical situations remain a reality in developed countries.
Conclusion:
In certain pathological contexts and in all the growing number of cases in elderly patients and many surgical indications, the need for vitamin C supplementation has to be defined. The needs at that particular time must be taken into account and the prior nutritional status.
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