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
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- 1Department of Hospital Medicine, Inha University Hospital, Incheon, Korea
- KMID: 2536440
- DOI: http://doi.org/10.15747/ACNM.2022.14.2.93
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.
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