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Journal of Medical Case Reports

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Open Access 01-12-2018 | Case report

Refeeding syndrome in adults with celiac crisis: a case report

Authors: Sonia Hammami, Houda Lazreg Aref, Messouda Khalfa, Ines Kochtalli, Mohamed Hammami

Published in: Journal of Medical Case Reports | Issue 1/2018

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.

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Title: Refeeding syndrome in adults with celiac crisis: a case report
Authors: Sonia Hammami
Houda Lazreg Aref
Messouda Khalfa
Ines Kochtalli
Mohamed Hammami
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: Journal of Medical Case Reports / Issue 1/2018
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/s13256-018-1566-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Refeeding syndrome in adults with celiac crisis: a case report

Abstract

Background

Case presentation

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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