RESUMO
Asymptomatic cardiomegaly and subsequent fulminant pulmonary edema developed in an AIDS patient with end-stage renal disease who had no prior history of cardiac disease. Intravenous thiamine administration led to dramatic resolution of both obtundation and cardiovascular collapse within 4 hours. Prolonged thiamine administration led to decreased cardiomegaly. These findings are consistent with Shoshin beriberi.
Assuntos
Síndrome da Imunodeficiência Adquirida/complicações , Beriberi/complicações , Cardiomegalia/etiologia , Falência Renal Crônica/complicações , Síndrome da Imunodeficiência Adquirida/diagnóstico , Beriberi/diagnóstico , Beriberi/tratamento farmacológico , Cardiomegalia/diagnóstico , Cardiomegalia/tratamento farmacológico , Diagnóstico Diferencial , Ecocardiografia , HIV , Humanos , Injeções Intravenosas , Falência Renal Crônica/diagnóstico , Falência Renal Crônica/terapia , Masculino , Diálise Peritoneal Ambulatorial Contínua , Radiografia Torácica , Tiamina/administração & dosagemRESUMO
In brief: When an abnormal stress is applied to the knee joint, menisci, ligaments, or articular cartilage may be damaged. In skeletally immature people the growth plate is more likely to be injured than the soft-tissue supporting structures. Physicians must maintain a high index of suspicion in these individuals and use specific aids for diagnosis such as stress views to differentiate between ligament and growth plate injuries. Prompt diagnosis and appropriate treatment help minimize long-term growth abnormalities and disability.
