Title |
Refeeding syndrome in adults with celiac crisis: a case report
|
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Published in |
Journal of Medical Case Reports, January 2018
|
DOI | 10.1186/s13256-018-1566-6 |
Pubmed ID | |
Authors |
Sonia Hammami, Houda Lazreg Aref, Messouda Khalfa, Ines Kochtalli, Mohamed Hammami |
Abstract |
Refeeding syndrome is a rare and life-threatening pathology with polyvisceral manifestations occurring in severely malnourished patients. It is rarely described in adults with celiac disease. We report the case of a 28-year-old Tunisian woman followed up for celiac disease, who did not adhere to the gluten-free diet. She presented to our hospital with celiac crisis manifested by severe diarrhea, and metabolic and electrolyte disturbances. The treatment of electrolyte abnormalities, hydration, and nutritional support was marked by the occurrence on the fifth day of refeeding syndrome with psychomotor agitation followed by respiratory distress and a state of cardiogenic shock. Refeeding syndrome is still under-recognized. It should be systematically prevented for high-risk patients. Nutritional support in patients with celiac crisis should be monitored carefully since the risk of refeeding syndrome is very high with a poor prognosis. |
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United Kingdom | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Scientists | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 50 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 7 | 14% |
Student > Master | 6 | 12% |
Student > Doctoral Student | 5 | 10% |
Researcher | 5 | 10% |
Student > Postgraduate | 3 | 6% |
Other | 5 | 10% |
Unknown | 19 | 38% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 11 | 22% |
Nursing and Health Professions | 10 | 20% |
Agricultural and Biological Sciences | 2 | 4% |
Biochemistry, Genetics and Molecular Biology | 2 | 4% |
Social Sciences | 1 | 2% |
Other | 3 | 6% |
Unknown | 21 | 42% |