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Journal of Parenteral and Enteral Nutrition
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Case Reports

Shoshin Beriberi: An Unusual Complication of Prolonged Parenteral Nutrition

P. La Selve

Service de Reanimation, Hôpital de la Croix-Rousse, Lyon

P. Demolin

Service de Reanimation, Hôpital de la Croix-Rousse, Lyon

L. Holzapfel

Service de Reanimation, Hôpital de la Croix-Rousse, Lyon

P.L. Blanc

Service de Reanimation, Hôpital de la Croix-Rousse, Lyon

G. Teyssier

D. Robert

Service de Pédiatrie, Hôpital Bellevue, St. Etienne, France

After 4 weeks of total parenteral nutrition (TPN), a 12-yr-old girl exhibited an acute heart failure with high cardiac output, anuria, and severe lactic acidosis. The clinical, hemodynamic, and biological data suggested the diagnosis of shoshin beriberi which was proved by the low erythrocyte transketolase activity with elevated "TPP effect" and by the dramatic improvement of the patient after thiamin administration. Thiamin deficiency and severe neurological disorders have been described during long-term parenteral nutrition. To our knowledge, this is the first report of the cardiovascular complication of this vitamin deprivation in long-term TPN. (Journal of Parenteral and Enteral Nutrition 10:102-103,1986)

Journal of Parenteral and Enteral Nutrition, Vol. 10, No. 1, 102-103 (1986)
DOI: 10.1177/0148607186010001102
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This article has been cited by other articles:


Home page
 JPEN J Parenter Enteral NutrHome page
J. Zak III, D. Burns, T. Lingenfelser, E. Steyn, and I.N. Marks
Dry Beriberi: Unusual Complication of Prolonged Parenteral Nutrition
JPEN J Parenter Enteral Nutr, March 1, 1991; 15(2): 200 - 201.
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