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Refeeding syndrome: a forgotten and potentially lethal entity.

Y Aissaoui¹, S Hammi¹, R Tagajdid¹

¹Département d'anesthésie réanimation. hôpital militaire Avicenne, avenue de la Résistance, 40000 Marrakech, Maroc Université Cadi Ayyad, faculté de médecine et de pharmacie, Marrakech, Maroc.

Medecine Et Sante Tropicales

|July 15, 2016

Summary

This summary is machine-generated.

Refeeding syndrome (RS) can be fatal if overlooked. Prompt recognition and management of RS are crucial for preventing severe complications and improving patient outcomes in undernourished individuals.

Keywords:

Morocco complications hyphosphatemia malnutrition parenteral and enteral nutrition refeeding syndrome

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Area of Science:

Internal Medicine
Clinical Nutrition
Critical Care Medicine

Background:

Refeeding syndrome (RS) involves metabolic disturbances in patients resuming nutrition after prolonged undernourishment.
Despite being recognized for decades, RS is frequently underdiagnosed by healthcare professionals.
This case highlights the critical importance of recognizing RS in clinical practice.

Observation:

A patient developed severe RS after prolonged fasting due to kidnapping.
Refeeding led to hypophosphatemia, neurological deficits, and hematologic issues.
The patient ultimately succumbed to septic shock and multi-organ failure.

Findings:

Failure to diagnose and manage RS was a key factor in the fatal outcome.
The patient experienced severe hypophosphatemia and associated complications.
Aspiration pneumonia contributed to septic shock and multi-organ failure.

Implications:

Healthcare professionals must enhance awareness and diagnostic skills for RS.
Timely intervention is essential to prevent severe morbidity and mortality from RS.
Improved understanding and management protocols for RS are needed in clinical settings.