Wernicke’s Encephalopathy : An Unusual Consequence of the Acquired Immune Deficiency Syndrome—Case Report and Literature Review
المؤلفون المشاركون
Dragu, Dritan
Williams, Michael
Larsen, Timothy R.
المصدر
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-07-09
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Introduction.
Wernicke’s encephalopathy is a well-described syndrome characterized by the classic triad of confusion, ataxia, and ophthalmoplegia.
Wernicke’s encephalopathy results from thiamine (vitamin B1) deficiency.
Common causes include alcoholism and gastric disorders.
Wernicke’s has been described in patients with acquired immune deficiency syndrome (AIDS); however, given these patients’ immunosuppressed state, the diagnosis of Wernicke’s encephalopathy is not apparent.
Case Presentation.
A 31-year-old previously healthy male presented to the ER complaining of progressive dyspnea.
Workup revealed HIV/AIDS and PCP pneumonia.
He was treated and improved.
On day 14 he became confused and developed nystagmus and ataxia.
Considering his immunocompromised state, infectious and neoplastic etiologies topped the differential diagnosis.
CT head was negative.
Lumbar puncture was unremarkable.
Brain MRI revealed increased T2 signal in the medial thalamus bilaterally.
Intravenous thiamine was administered resulting in resolution of symptoms.
Discussion.
The classic triad of Wernicke’s encephalopathy occurs in 10% of cases.
When immunosuppressed patients develop acute neurologic symptoms infectious or neoplastic etiologies must be excluded.
However, given the relative safety of thiamine supplementation, there should be a low threshold for initiating therapy in order to reverse the symptoms and prevent progression to Korsakoff dementia, which is permanent.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Larsen, Timothy R.& Dragu, Dritan& Williams, Michael. 2013. Wernicke’s Encephalopathy : An Unusual Consequence of the Acquired Immune Deficiency Syndrome—Case Report and Literature Review. Case Reports in Medicine،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-492350
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Larsen, Timothy R.…[et al.]. Wernicke’s Encephalopathy : An Unusual Consequence of the Acquired Immune Deficiency Syndrome—Case Report and Literature Review. Case Reports in Medicine No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-492350
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Larsen, Timothy R.& Dragu, Dritan& Williams, Michael. Wernicke’s Encephalopathy : An Unusual Consequence of the Acquired Immune Deficiency Syndrome—Case Report and Literature Review. Case Reports in Medicine. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-492350
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-492350
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر