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Infection
Published in: Infection 1/2020

01-02-2020 | Wernicke's Encephalopathy | Case Report

Early recognition of thiamine deficiency: ocular motor deficits in a patient with nutritional deprivation due to persistent antibiotic-related nausea

Authors: Benedikt Wiggli, Sandra Kapitza, Frank Ahlhelm, Alexander A. Tarnutzer

Published in: Infection | Issue 1/2020

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Abstract

Case description

A 73-year-old male presented with new onset dizziness and a 22-kg weight loss due to antibiotic-induced nausea/vomiting. Due to gaze-evoked nystagmus (GEN), thiamine deficiency was suspected. Within 12 h after replacement, his GEN decreased.

Conclusion

In patients with nutritional deprivation, new onset GEN should prompt further diagnostics and immediate thiamine supplementation to avoid disease progression.
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Literature
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Metadata
Title
Early recognition of thiamine deficiency: ocular motor deficits in a patient with nutritional deprivation due to persistent antibiotic-related nausea
Authors
Benedikt Wiggli
Sandra Kapitza
Frank Ahlhelm
Alexander A. Tarnutzer
Publication date
01-02-2020
Publisher
Springer Berlin Heidelberg
Published in
Infection / Issue 1/2020
Print ISSN: 0300-8126
Electronic ISSN: 1439-0973
DOI
https://doi.org/10.1007/s15010-019-01363-w

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