Ann Clin Nutr Metab.  2022 Dec;14(2):93-96. 10.15747/ACNM.2022.14.2.93.

Development of Wernicke’s Encephalopathy during Total Parenteral Nutrition Therapy without Additional Multivitamin Supplementation in a Patient with Intestinal Obstruction: A Case Report

Affiliations
  • 1Department of Hospital Medicine, Inha University Hospital, Incheon, Korea

Abstract

Wernicke’s encephalopathy (WE) is a serious neurological disorder that can be fatal if not properly treated. In this current paper, I present the case of a 51-year-old male with a perivesical fistula between a presacral abscess and the rectus abdominis muscle. He received total parenteral nutrition therapy during a fasting period because of small bowel obstruction and later developed WE. The patient’s WE-related symptoms improved following rapid treatment with high doses of thiamine.

Keyword

Intestinal obstruction; Thiamine; Total parenteral nutrition; Wernicke encephalopathy
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