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Korean J Crit Care Med > Volume 23(2); 2008 > Article
Korean Journal of Critical Care Medicine 2008;23(2): 106-110. doi: https://doi.org/10.4266/kjccm.2008.23.2.106
흡인성 폐렴 환자에서 발생한 베르니케 뇌병증 1예 -증례 보고-
김소미ㆍ서지현ㆍ노란ㆍ추영광ㆍ라성수ㆍ박재석ㆍ김도형
단국대학교 의과대학 내과학교실
A Case of Wernicke's Encephalopathy Occurring in a Patient with Aspiration Pneumonia: A Case Report
So Mi Kim, Ji Hyun Suh, Ran Noh, Young Kwang Choo, Sung Soo La, Jae Seuk Park, Doh Hyung Kim
Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea. kimdh@dankook.ac.kr
ABSTRACT
Wernicke's encephalopathy is a neurologic complication of thiamine deficiency, presenting with acute confusion, oculomotor dysfunction, and gait ataxia. While most often associated with chronic alcoholism, Wernicke's encephalopathy occasionally occurs in the setting of poor nutritional status, such as malabsorption, increased metabolic requirements, or increased loss of the water-soluble vitamins. Patients with critical illnesses can present with excessive catabolic status because of activation of the sympathetic nervous system and the pituitary-adrenal axis. In addition, inappropriate nutritional evaluation and lack of concerns for adequate nutrient support can increase the morbidity and mortality in such patients. However, the importance of adequate nutritional support is often disregarded during treatment of the patient's primary illness. We have recently managed a patient with Wernicke's encephalopathy and pneumonia who did not receive adequate nutritional support during hospitalization. We report this case to call attention to the importance of nutritional support in critically ill patients.
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