A case of an alcohol user complicated with both Wernicke’s encephalopathy and Boerhaave syndrome
Journal Title: Scholars Journal of Medical Case Reports - Year 2016, Vol 4, Issue 8
Abstract
A 45-year-old male was found lying unconscious in his room by his uncle. The room was littered with alcohol bottles. Upon arrival, his Glasgow Coma Scale score was 9. He had a blood pressure of 98/72 mmHg and a body temperature of 27.0 °C. The main abnormal results of a biochemical analysis of the blood suggested that he had hepatitis, renal failure, rhabdomyolysis, hyperglycemia, and cardiomyopathy. Based on the findings of aCTand MRI, he was diagnosed with Wernicke’s encephalopathy, Boerhaave syndrome induced by alcohol. After medical treatment and rehabilitation, he was discharged on Day 60 of hospitalization. As alcoholic patients tends to have a variety of underlying diseases, physicians must conduct a whole-body evaluation for alcoholic patients using radiological, physiological, and biochemical analyses if the patient cannot describe their symptoms well due to unconsciousness or dementia. Keywords:accidental hypothermia, dehydration, hepatitis.
Authors and Affiliations
Ikuto Takeuchi MD. , HiromichiOhsaka M. D, Kei Jitsuiki MD, Toshihiko Yoshizawa, Kouhei Ishikawa, Kazuhiko Omori, Youichi Yanagawa
Alobar Holoprosencephaly: about 2 cases and review of the literature
Holoprosencephaly is a rare brain abnormality resulting from an incomplete cleavage of the primitive prosencephalon of forebrain during early embryogenesis. It includes a series of rare complex and heterogenosis disorder...
Repair of Myelomeningocele: How I do it
Abstract: Myelomeningocele is the most common birth defect involving the spine. Its incidence is approximately 1 case per 1000 live births in the United States; in Colombia its incidence is unknown. The primary goal of t...
Unintentional Injury by Imprudence with a Butcher Hook in a Child
Injury by imprudence with a butcher hook is not very common. It is a breach of human right to integrity. Though it is not deliberate, it may involve lawsuit. We report the case of a primary school girl of 6 years old who...
Unilateral Condylar Hyperplasia with Progressive Facial Asymmentry: A Case Report
Condylar hyperplasia of mandible is overdevelopment of condyle, unilaterally or bilaterally, because of excessive cellular growth of one condylar part of the mandible, leading to facial asymmetry, mandibular deviation, m...
Smokeless tobacco and oral cancer: A rare case report
Abstract:Smokeless tobacco (ST) is tobacco that is not burned. It is also known as chewing tobacco, spit or spitting tobacco, dip, chew, and snuff. It is usually placed in the oral or nasal cavities against the mucosal s...