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Pan beriberi in a Young Male: A Case Report
Sonam Yangzom1, Dechen Wangmo2, Diki Dolkar2
1Department of Internal Medicine Eastern Regional Referral Hospital Mongar Bhutan.
Pan beriberi, a severe thiamine deficiency, requires consideration in young patients with heart failure and neurological issues, especially if malnourished. Prompt thiamine treatment is crucial for survival, even without lab tests.
Area of Science:
- Nutritional Neuroscience
- Cardiology
- Gastroenterology
Background:
- Pan beriberi is a critical condition stemming from severe thiamine (vitamin B1) deficiency.
- It presents with a triad of acute heart failure, neurological deficits, and gastrointestinal pseudo-obstruction.
Purpose of the Study:
- To highlight the importance of considering pan beriberi in specific patient populations.
- To emphasize the critical role of early diagnosis and treatment in improving patient outcomes.
Main Methods:
- Clinical case review and analysis.
- Literature synthesis on pan beriberi presentation and management.
Main Results:
- Pan beriberi should be suspected in young individuals experiencing unexplained acute heart failure, neurological deficits, and gastrointestinal pseudo-obstruction.
- Malnutrition and chronic alcohol use are significant risk factors.
Conclusions:
- Early clinical recognition of pan beriberi is vital.
- Prompt administration of high-dose thiamine therapy can be lifesaving, irrespective of immediate laboratory confirmation.
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