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Missing Vitamin C: A Case of Scorbutic Cardiac Tamponade

Saed Alnaimat1, Abdullahi Oseni2, Ying Yang1

  • 1Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa.

JACC. Case Reports
|July 28, 2021
PubMed

Insights

Scurvy, a vitamin C deficiency, can cause severe complications. This case report details scurvy leading to life-threatening cardiac tamponade, a rare presentation not recently documented.

Area of Science:

  • Cardiology
  • Nutritional Science
  • Internal Medicine

Background:

  • Scurvy is a condition caused by vitamin C deficiency.
  • It leads to vascular fragility and various systemic issues.
  • Classic symptoms include fatigue, gum disease, and poor wound healing.

Observation:

  • This paper describes a patient with scurvy.
  • The patient presented with classic scurvy symptoms.
  • Additionally, the patient developed cardiac tamponade.

Findings:

  • Cardiac tamponade is a rare and severe complication of scurvy.
  • This presentation of scurvy has not been widely reported in recent medical literature.
  • The case highlights the potential for extreme cardiovascular manifestations of vitamin C deficiency.

Implications:

  • Recognizing cardiac tamponade as a potential scurvy complication is crucial for timely diagnosis.
  • This case underscores the importance of considering nutritional deficiencies in cardiovascular emergencies.
  • Early identification and treatment of scurvy can prevent life-threatening outcomes.

Keywords:
Ao, aortaCT, computed tomographyGERD, gastroesophageal reflux diseaseJVP, jugular venous pressureLA, left atriumLV, left VentriclePE, pericardial effusionRA, right atriumRV, right ventricleTTE, transthoracic echocardiogramalcoholismmalnutritionscurvytamponadevitamin C

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