MIXED BERIBERI – A COMBINATION OF CARDIAC, NEUROLOGICAL AND GASTRIC BERIBERI– A RARE PRESENTATION

Dr.Allam Vasanth Kumar; Dr.P.Sudhakar; Dr.P.L.Sowjanya; Dr.A.Sree Sraddha

Volume : X, Issue : II, February - 2020

MIXED BERIBERI – A COMBINATION OF CARDIAC, NEUROLOGICAL AND GASTRIC BERIBERI– A RARE PRESENTATION

Dr. Allam Vasanth Kumar, Dr. P. Sudhakar, Dr. P. L. Sowjanya, Dr. A. Sree Sraddha

Abstract :

We present a rare case of mixed beriberi with cardiac, neurological manifestations and gastric Beriberi. Prolonged Thiamine deficiency causes beriberi, presenting as wet or dry Beriberi but a rare coexistence with gastric beriberi is being reported here. Patients with Beriberi generally present with pain, paraesthesia, shortness of eath and irritability. Abdominal pain is a rare manifestation of gastric beriberi. In developing countries apart from nutritional causes, alcoholic abuse is the leading cause of beriberi. Gastric pain due to metabolic acidosis is a rare manifestation of gastric beriberi. This disorder is a metabolic emergency and requires prompt recognition and treatment with intravenous thiamine. Sudden appearance of right heart failure and pulmonary hypertension is common. Death occurs quickly from right heart failure and the patient usually dies fully conscious if this condition is not recognised clinically. We report a case of gastric BeriBeri that was successfully treated with intravenous thiamine.