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J Med Case Rep ; 12(1): 22, 2018 Jan 31.
Artigo em Inglês | MEDLINE | ID: mdl-29382373

RESUMO

BACKGROUND: Refeeding syndrome is a rare and life-threatening pathology with polyvisceral manifestations occurring in severely malnourished patients. It is rarely described in adults with celiac disease. CASE PRESENTATION: We report the case of a 28-year-old Tunisian woman followed up for celiac disease, who did not adhere to the gluten-free diet. She presented to our hospital with celiac crisis manifested by severe diarrhea, and metabolic and electrolyte disturbances. The treatment of electrolyte abnormalities, hydration, and nutritional support was marked by the occurrence on the fifth day of refeeding syndrome with psychomotor agitation followed by respiratory distress and a state of cardiogenic shock. CONCLUSIONS: Refeeding syndrome is still under-recognized. It should be systematically prevented for high-risk patients. Nutritional support in patients with celiac crisis should be monitored carefully since the risk of refeeding syndrome is very high with a poor prognosis.


Assuntos
Doença Celíaca/complicações , Dieta Livre de Glúten , Insuficiência de Múltiplos Órgãos/etiologia , Cooperação do Paciente , Síndrome da Realimentação/etiologia , Choque Cardiogênico/etiologia , Adulto , Doença Celíaca/dietoterapia , Doença Celíaca/metabolismo , Diarreia , Evolução Fatal , Feminino , Humanos , Desnutrição , Insuficiência de Múltiplos Órgãos/fisiopatologia , Síndrome da Realimentação/fisiopatologia , Síndrome da Realimentação/terapia , Choque Cardiogênico/fisiopatologia , Choque Cardiogênico/terapia
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