Costa Inês N, Reis Joana S, Monteiro Ana O, Fernandes Catarina, Dias Manuela
Medical Oncology, Centro Hospitalar Universitário de São João, Porto, PRT.
Internal Medicine, Centro Hospitalar Universitário de São João, Porto, PRT.
Cureus. 2022 Jul 26;14(7):e27288. doi: 10.7759/cureus.27288. eCollection 2022 Jul.
Takotsubo cardiomyopathy (TC) is a rare entity defined by a temporary, reversible left ventricular systolic abnormality similar to myocardial infarction in the absence of coronary artery disease. Alcohol withdrawal syndrome (AWS) can result from a marked decrease or sudden cessation of alcohol consumption and seems to be related to excess catecholamines that induce a cardiomyotoxic effect. Wernicke's encephalopathy (WE), mostly associated with alcoholism, is caused by a deficiency in vitamin B1 (thiamine) and is severe if not supplemented in a timely manner. We present a complex case of a patient with the simultaneous presentation of two rare conditions, takotsubo cardiomyopathy, and Wernicke's encephalopathy, precipitated by an alcohol withdrawal syndrome.
应激性心肌病（TC）是一种罕见的病症，其定义为在无冠状动脉疾病的情况下，出现类似于心肌梗死的暂时性、可逆性左心室收缩异常。酒精戒断综合征（AWS）可由酒精摄入量显著减少或突然停止饮酒引起，似乎与诱导心肌毒性作用的儿茶酚胺过量有关。韦尼克脑病（WE）主要与酒精中毒相关，由维生素B1（硫胺素）缺乏引起，若不及时补充则病情严重。我们报告了一例复杂病例，该患者同时出现两种罕见病症，即应激性心肌病和韦尼克脑病，由酒精戒断综合征引发。
