Pulmonary artery catheter usage in diagnosis of Shoshin beriberi presented with unexplained lactic acidosis
Abstract Wet beriberi is a rare but fatal disease in modern society. The nonspecific clinical manifestations, including symptoms of heart failure and recalcitrant lactic acidosis, can prevent timely diagnosis. The use of a pulmonary artery catheter can promptly confirm a high cardiac output state an...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-08-01
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| Series: | ESC Heart Failure |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ehf2.14374 |
| _version_ | 1827891564737724416 |
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| author | Yi‐Hsin Hung An‐Li Yu Chun‐Kai Chen Min‐Tsun Liao Mu‐Yang Hsieh Wen‐Jone Chen |
| author_facet | Yi‐Hsin Hung An‐Li Yu Chun‐Kai Chen Min‐Tsun Liao Mu‐Yang Hsieh Wen‐Jone Chen |
| author_sort | Yi‐Hsin Hung |
| collection | DOAJ |
| description | Abstract Wet beriberi is a rare but fatal disease in modern society. The nonspecific clinical manifestations, including symptoms of heart failure and recalcitrant lactic acidosis, can prevent timely diagnosis. The use of a pulmonary artery catheter can promptly confirm a high cardiac output state and plays a crucial role in rapidly deteriorating cases. Appropriate treatment with intravenous administration of thiamine leads to dramatic recovery within hours. We present two cases of Shoshin beriberi, a fulminant variant of wet beriberi, diagnosed in 2016 and 2022 at our institute. The patients experienced haemodynamic collapse and refractory lactic acidosis, which were successfully diagnosed with the use of a pulmonary artery catheter and reversed by thiamine supplementation. We also reviewed 19 cases of wet beriberi reported between 2010 and 2022. |
| first_indexed | 2024-03-12T21:26:31Z |
| format | Article |
| id | doaj.art-614325ff321241eb8053e47f664da592 |
| institution | Directory Open Access Journal |
| issn | 2055-5822 |
| language | English |
| last_indexed | 2024-03-12T21:26:31Z |
| publishDate | 2023-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | ESC Heart Failure |
| spelling | doaj.art-614325ff321241eb8053e47f664da5922023-07-28T06:30:48ZengWileyESC Heart Failure2055-58222023-08-011042686269310.1002/ehf2.14374Pulmonary artery catheter usage in diagnosis of Shoshin beriberi presented with unexplained lactic acidosisYi‐Hsin Hung0An‐Li Yu1Chun‐Kai Chen2Min‐Tsun Liao3Mu‐Yang Hsieh4Wen‐Jone Chen5Department of Internal Medicine National Taiwan University Hospital Taipei TaiwanDepartment of Internal Medicine, Division of Cardiology National Taiwan University Hospital Taipei TaiwanDepartment of Internal Medicine, Division of Cardiology National Taiwan University Hospital Hsin‐Chu Branch Hsinchu TaiwanDepartment of Internal Medicine, Division of Cardiology National Taiwan University Hospital Hsin‐Chu Branch Hsinchu TaiwanDepartment of Internal Medicine, Division of Cardiology National Taiwan University Hospital Hsin‐Chu Branch Hsinchu TaiwanDepartment of Internal Medicine Min‐Sheng General Hospital Taoyuan TaiwanAbstract Wet beriberi is a rare but fatal disease in modern society. The nonspecific clinical manifestations, including symptoms of heart failure and recalcitrant lactic acidosis, can prevent timely diagnosis. The use of a pulmonary artery catheter can promptly confirm a high cardiac output state and plays a crucial role in rapidly deteriorating cases. Appropriate treatment with intravenous administration of thiamine leads to dramatic recovery within hours. We present two cases of Shoshin beriberi, a fulminant variant of wet beriberi, diagnosed in 2016 and 2022 at our institute. The patients experienced haemodynamic collapse and refractory lactic acidosis, which were successfully diagnosed with the use of a pulmonary artery catheter and reversed by thiamine supplementation. We also reviewed 19 cases of wet beriberi reported between 2010 and 2022.https://doi.org/10.1002/ehf2.14374High‐output heart failureWet beriberiShoshin beriberiLactic acidosisPulmonary artery catheter |
| spellingShingle | Yi‐Hsin Hung An‐Li Yu Chun‐Kai Chen Min‐Tsun Liao Mu‐Yang Hsieh Wen‐Jone Chen Pulmonary artery catheter usage in diagnosis of Shoshin beriberi presented with unexplained lactic acidosis ESC Heart Failure High‐output heart failure Wet beriberi Shoshin beriberi Lactic acidosis Pulmonary artery catheter |
| title | Pulmonary artery catheter usage in diagnosis of Shoshin beriberi presented with unexplained lactic acidosis |
| title_full | Pulmonary artery catheter usage in diagnosis of Shoshin beriberi presented with unexplained lactic acidosis |
| title_fullStr | Pulmonary artery catheter usage in diagnosis of Shoshin beriberi presented with unexplained lactic acidosis |
| title_full_unstemmed | Pulmonary artery catheter usage in diagnosis of Shoshin beriberi presented with unexplained lactic acidosis |
| title_short | Pulmonary artery catheter usage in diagnosis of Shoshin beriberi presented with unexplained lactic acidosis |
| title_sort | pulmonary artery catheter usage in diagnosis of shoshin beriberi presented with unexplained lactic acidosis |
| topic | High‐output heart failure Wet beriberi Shoshin beriberi Lactic acidosis Pulmonary artery catheter |
| url | https://doi.org/10.1002/ehf2.14374 |
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