Shoshin beriberi and thiamine-responsive right heart failure: A case report in Mayotte Recognition and management of infant Shoshin beriberi.

C Tanné, J Nguyen, R Blondé

Journal: Archives de pediatrie : organe officiel de la Societe francaise de pediatrie 2022;29(8):624-625

PMID: 36283886

Full Text on Elsevier Science View on PubMed

Abstract

Infant Shoshin beriberi is an acute life-threatening condition for which the diagnosis is frequently delayed. Therefore, rapid recognition of right heart failure with lactic acidemia is a crucial element in the diagnosis and therapeutic management. We present the case of a 2-month-old girl with bronchiolitis, right heart failure, and lactic acidosis, who quickly and favorably responded to thiamine supplementation. Thiamine deficiency was established through laboratory tests. We present a brief review of the literature with the different thiamine dosages proposed in emergencies and provide an emergency protocol in cases of clinical suspicion, since thiamine supplementation could help to speed up recovery in infants with Shoshin beriberi.

Address: Pediatric Department, Centre Hospitalier de Mayotte, Mamoudzou, France; Pediatric Department, Centre Hospitalier Métropole Savoie, Chambéry, France.; Pediatric Department, Centre Hospitalier de Mayotte, Mamoudzou, France.; Intensive Care Unit, Centre Hospitalier de Mayotte, Mamoudzou, France. Electronic address: [email protected].

DOI: 10.1016/j.arcped.2022.08.017

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MeSH Terms: Infant, Female, Humans, Beriberi, Thiamine, Comoros, Thiamine Deficiency, Heart Failure, Acidosis, Lactic, Acute Disease