Abstract
Differentiating the type and cause of shock is crucial for intensive care. The rapid
aggravation of lactic acidosis in patients often indicates a severe impairment of
oxygen uptake in tissues. Herein, we presented a rare case of refractory distributive
shock with severe wet beriberi. A 40-year-old male was admitted to the emergency department
(ED) with recurrent chest tightness and lower extremity edema. The condition of the
patient continued to deteriorate after symptomatic treatments. After several turnovers,
the medical history of the patient was requested again and finally obtained. Our emergency
management team hypothesized that the thiamine-deficient diet caused an aerobic metabolism
disorder in the patient. Overall, we aimed to alert clinicians to unusual causes of
distributive shock and further discussed the application of thiamine supplementary
therapy in critical care.
Keywords
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Article info
Publication history
Published online: December 16, 2022
Accepted:
December 12,
2022
Received:
August 13,
2021
Identification
Copyright
© 2022 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.
