Infection 2019-Oct

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

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Benedikt Wiggli

Sandra Kapitza

Frank Ahlhelm

Alexander Tarnutzer

ARTICLE: 31606875

DOI: 10.1007/s15010-019-01363-w

BioSeek: 31606875

Keywords

Abstract

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.In patients with nutritional deprivation, new onset GEN should prompt further diagnostics and immediate thiamine supplementation to avoid disease progression.

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

Keywords

thiamine

dizziness

nausea

vomiting

beriberi

weight loss

antibiotic

Abstract

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