Refeeding syndrome in adults with celiac crisis: a case report
Abstract Background Refeeding syndrome is a rare and life-threatening pathology with polyvisceral manifestations occurring in severely malnourished patients. It is rarely described in adults with celiac disease. Case presentation We report the case of a 28-year-old Tunisian woman followed up for cel...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-01-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13256-018-1566-6 |
| _version_ | 1819035661572767744 |
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| author | Sonia Hammami Houda Lazreg Aref Messouda Khalfa Ines Kochtalli Mohamed Hammami |
| author_facet | Sonia Hammami Houda Lazreg Aref Messouda Khalfa Ines Kochtalli Mohamed Hammami |
| author_sort | Sonia Hammami |
| collection | DOAJ |
| description | Abstract Background Refeeding syndrome is a rare and life-threatening pathology with polyvisceral manifestations occurring in severely malnourished patients. It is rarely described in adults with celiac disease. Case presentation We report the case of a 28-year-old Tunisian woman followed up for celiac disease, who did not adhere to the gluten-free diet. She presented to our hospital with celiac crisis manifested by severe diarrhea, and metabolic and electrolyte disturbances. The treatment of electrolyte abnormalities, hydration, and nutritional support was marked by the occurrence on the fifth day of refeeding syndrome with psychomotor agitation followed by respiratory distress and a state of cardiogenic shock. Conclusions Refeeding syndrome is still under-recognized. It should be systematically prevented for high-risk patients. Nutritional support in patients with celiac crisis should be monitored carefully since the risk of refeeding syndrome is very high with a poor prognosis. |
| first_indexed | 2024-12-21T07:53:11Z |
| format | Article |
| id | doaj.art-0985801014a94ac4b1b1f7892e96f234 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-21T07:53:11Z |
| publishDate | 2018-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-0985801014a94ac4b1b1f7892e96f2342022-12-21T19:11:01ZengBMCJournal of Medical Case Reports1752-19472018-01-011211410.1186/s13256-018-1566-6Refeeding syndrome in adults with celiac crisis: a case reportSonia Hammami0Houda Lazreg Aref1Messouda Khalfa2Ines Kochtalli3Mohamed Hammami4Department of Internal Medicine, CHU. F. BourguibaBiochemistry Laboratory, LR12ES05 Nutrition-Functional Foods and Vascular Health” Faculty of Medicine, University of MonastirDepartment of Internal Medicine, CHU. F. BourguibaDepartment of Internal Medicine, CHU. F. BourguibaBiochemistry Laboratory, LR12ES05 Nutrition-Functional Foods and Vascular Health” Faculty of Medicine, University of MonastirAbstract Background Refeeding syndrome is a rare and life-threatening pathology with polyvisceral manifestations occurring in severely malnourished patients. It is rarely described in adults with celiac disease. Case presentation We report the case of a 28-year-old Tunisian woman followed up for celiac disease, who did not adhere to the gluten-free diet. She presented to our hospital with celiac crisis manifested by severe diarrhea, and metabolic and electrolyte disturbances. The treatment of electrolyte abnormalities, hydration, and nutritional support was marked by the occurrence on the fifth day of refeeding syndrome with psychomotor agitation followed by respiratory distress and a state of cardiogenic shock. Conclusions Refeeding syndrome is still under-recognized. It should be systematically prevented for high-risk patients. Nutritional support in patients with celiac crisis should be monitored carefully since the risk of refeeding syndrome is very high with a poor prognosis.http://link.springer.com/article/10.1186/s13256-018-1566-6Celiac crisisRefeeding SyndromeCeliac diseasefeeding |
| spellingShingle | Sonia Hammami Houda Lazreg Aref Messouda Khalfa Ines Kochtalli Mohamed Hammami Refeeding syndrome in adults with celiac crisis: a case report Journal of Medical Case Reports Celiac crisis Refeeding Syndrome Celiac disease feeding |
| title | Refeeding syndrome in adults with celiac crisis: a case report |
| title_full | Refeeding syndrome in adults with celiac crisis: a case report |
| title_fullStr | Refeeding syndrome in adults with celiac crisis: a case report |
| title_full_unstemmed | Refeeding syndrome in adults with celiac crisis: a case report |
| title_short | Refeeding syndrome in adults with celiac crisis: a case report |
| title_sort | refeeding syndrome in adults with celiac crisis a case report |
| topic | Celiac crisis Refeeding Syndrome Celiac disease feeding |
| url | http://link.springer.com/article/10.1186/s13256-018-1566-6 |
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