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
Keywords
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