早期识别硫胺素缺乏：持续抗生素相关性恶心导致营养缺乏的患者的眼球运动缺陷。
Early recognition of thiamine deficiency: ocular motor deficits in a patient with nutritional deprivation due to persistent antibiotic-related nausea.
机构信息
Infectiology, Department of Medicine, Cantonal Hospital of Baden, Baden, Switzerland.
Neurology, Department of Medicine, Cantonal Hospital of Baden, Baden, Switzerland.
出版信息
Infection. 2020 Feb;48(1):137-140. doi: 10.1007/s15010-019-01363-w. Epub 2019 Oct 12.
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.
病例描述
一名 73 岁男性因抗生素引起的恶心/呕吐出现新发头晕和 22 公斤体重减轻。由于出现眼震（GEN），怀疑为硫胺素缺乏症。在补充硫胺素后 12 小时内，他的 GEN 减少。
结论
在营养剥夺的患者中，新发 GEN 应提示进一步进行诊断，并立即进行硫胺素补充，以避免疾病进展。
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