Wernicke-Korsakoff Syndrome associated with hyperemesis gravidarum and fetal death: Case report and literature review

We describe a clinical case of a pregnant patient with hyperemesis gravidarum who progressed to abortion, Wernicke's encephalopathy, and Korsakoff's psychosis, all related to thiamine deficiency. The patient presented symptoms of disorientation, nonspecific limb movements, and fever, initi...

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Detalles Bibliográficos
Autores: Marinho, Sâmya Pessoa de Amorim, Furtado, Raquel Viana, Lemos, Paola Lima, Correia, Jose Walter, Barbosa, Orivaldo Alves
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:Brasil
Institución:Centro Universitário Christus (Unichristus)
Repositorio:Journal of Health & Biological Sciences
Idioma:inglés
OAI Identifier:oai:ojs.emnuvens.com.br:article/4810
Acceso en línea:https://periodicos.unichristus.edu.br/jhbs/article/view/4810
Access Level:acceso abierto
Palabra clave:Wernicke Encephalopathy
Korsakoff Syndrome
Pregnancy
Hyperemesis gravidarum
Neurologia
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spelling Wernicke-Korsakoff Syndrome associated with hyperemesis gravidarum and fetal death: Case report and literature reviewWernicke EncephalopathyKorsakoff SyndromePregnancyHyperemesis gravidarumNeurologiaWe describe a clinical case of a pregnant patient with hyperemesis gravidarum who progressed to abortion, Wernicke's encephalopathy, and Korsakoff's psychosis, all related to thiamine deficiency. The patient presented symptoms of disorientation, nonspecific limb movements, and fever, initially treated with metronidazole and ceftriaxone for suspected infected abortion. Subsequently, the patient was diagnosed with retained and infected abortion, and thiamine replacement therapy was initiated with an intravenous loading dose of 900 mg/day. During hospitalization, the patient presented with tetraparesis, nystagmus, decreased level of consciousness, anterograde and retrograde amnesia, confabulation, and aphasia. Magnetic resonance imaging showed lesions in the pons, typical of Wernicke's encephalopathy. The patient was empirically treated with acyclovir and ampicillin and showed clinical improvement. The text also provides a brief narrative review of the literature on the topic.UNICHRISTUS2023-08-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer ReviewRevisado por paresAvaliado por Paresapplication/pdfhttps://periodicos.unichristus.edu.br/jhbs/article/view/481010.12662/2317-3076jhbs.v11i1.4810.p1-5.2023Journal of Health & Biological Sciences; Vol. 11 No. 1 (2023): Journal of Health and Biological Sciences; 1-5Journal of Health and Biological Sciences; Vol. 11 Núm. 1 (2023): Journal of Health and Biological Sciences; 1-5Journal of Health & Biological Sciences; v. 11 n. 1 (2023): Journal of Health and Biological Sciences; 1-52317-30762317-308410.12662/2317-3076jhbs.v11i1.2023reponame:Journal of Health & Biological Sciencesinstname:Centro Universitário Christus (Unichristus)instacron:CHRISTUSenghttps://periodicos.unichristus.edu.br/jhbs/article/view/4810/1793Copyright (c) 2023 Journal of Health & Biological Sciencesinfo:eu-repo/semantics/openAccessMarinho, Sâmya Pessoa de AmorimFurtado, Raquel VianaLemos, Paola LimaCorreia, Jose WalterBarbosa, Orivaldo Alves2023-09-29T20:39:18Zoai:ojs.emnuvens.com.br:article/4810Revistahttps://periodicos.unichristus.edu.br/jhbs/indexPRIhttps://periodicos.unichristus.edu.br/jhbs/oaisecretaria.jhbs@unichristus.edu.br || editor.jhbs@fchristus.edu.br2317-30762317-3084opendoar:2023-09-29T20:39:18Journal of Health & Biological Sciences - Centro Universitário Christus (Unichristus)false
dc.title.none.fl_str_mv Wernicke-Korsakoff Syndrome associated with hyperemesis gravidarum and fetal death: Case report and literature review
title Wernicke-Korsakoff Syndrome associated with hyperemesis gravidarum and fetal death: Case report and literature review
spellingShingle Wernicke-Korsakoff Syndrome associated with hyperemesis gravidarum and fetal death: Case report and literature review
Marinho, Sâmya Pessoa de Amorim
Wernicke Encephalopathy
Korsakoff Syndrome
Pregnancy
Hyperemesis gravidarum
Neurologia
title_short Wernicke-Korsakoff Syndrome associated with hyperemesis gravidarum and fetal death: Case report and literature review
title_full Wernicke-Korsakoff Syndrome associated with hyperemesis gravidarum and fetal death: Case report and literature review
title_fullStr Wernicke-Korsakoff Syndrome associated with hyperemesis gravidarum and fetal death: Case report and literature review
title_full_unstemmed Wernicke-Korsakoff Syndrome associated with hyperemesis gravidarum and fetal death: Case report and literature review
title_sort Wernicke-Korsakoff Syndrome associated with hyperemesis gravidarum and fetal death: Case report and literature review
dc.creator.none.fl_str_mv Marinho, Sâmya Pessoa de Amorim
Furtado, Raquel Viana
Lemos, Paola Lima
Correia, Jose Walter
Barbosa, Orivaldo Alves
author Marinho, Sâmya Pessoa de Amorim
author_facet Marinho, Sâmya Pessoa de Amorim
Furtado, Raquel Viana
Lemos, Paola Lima
Correia, Jose Walter
Barbosa, Orivaldo Alves
author_role author
author2 Furtado, Raquel Viana
Lemos, Paola Lima
Correia, Jose Walter
Barbosa, Orivaldo Alves
author2_role author
author
author
author
dc.subject.por.fl_str_mv Wernicke Encephalopathy
Korsakoff Syndrome
Pregnancy
Hyperemesis gravidarum
Neurologia
topic Wernicke Encephalopathy
Korsakoff Syndrome
Pregnancy
Hyperemesis gravidarum
Neurologia
description We describe a clinical case of a pregnant patient with hyperemesis gravidarum who progressed to abortion, Wernicke's encephalopathy, and Korsakoff's psychosis, all related to thiamine deficiency. The patient presented symptoms of disorientation, nonspecific limb movements, and fever, initially treated with metronidazole and ceftriaxone for suspected infected abortion. Subsequently, the patient was diagnosed with retained and infected abortion, and thiamine replacement therapy was initiated with an intravenous loading dose of 900 mg/day. During hospitalization, the patient presented with tetraparesis, nystagmus, decreased level of consciousness, anterograde and retrograde amnesia, confabulation, and aphasia. Magnetic resonance imaging showed lesions in the pons, typical of Wernicke's encephalopathy. The patient was empirically treated with acyclovir and ampicillin and showed clinical improvement. The text also provides a brief narrative review of the literature on the topic.
publishDate 2023
dc.date.none.fl_str_mv 2023-08-29
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer Review
Revisado por pares
Avaliado por Pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.unichristus.edu.br/jhbs/article/view/4810
10.12662/2317-3076jhbs.v11i1.4810.p1-5.2023
url https://periodicos.unichristus.edu.br/jhbs/article/view/4810
identifier_str_mv 10.12662/2317-3076jhbs.v11i1.4810.p1-5.2023
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://periodicos.unichristus.edu.br/jhbs/article/view/4810/1793
dc.rights.driver.fl_str_mv Copyright (c) 2023 Journal of Health & Biological Sciences
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Journal of Health & Biological Sciences
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv UNICHRISTUS
publisher.none.fl_str_mv UNICHRISTUS
dc.source.none.fl_str_mv Journal of Health & Biological Sciences; Vol. 11 No. 1 (2023): Journal of Health and Biological Sciences; 1-5
Journal of Health and Biological Sciences; Vol. 11 Núm. 1 (2023): Journal of Health and Biological Sciences; 1-5
Journal of Health & Biological Sciences; v. 11 n. 1 (2023): Journal of Health and Biological Sciences; 1-5
2317-3076
2317-3084
10.12662/2317-3076jhbs.v11i1.2023
reponame:Journal of Health & Biological Sciences
instname:Centro Universitário Christus (Unichristus)
instacron:CHRISTUS
instname_str Centro Universitário Christus (Unichristus)
instacron_str CHRISTUS
institution CHRISTUS
reponame_str Journal of Health & Biological Sciences
collection Journal of Health & Biological Sciences
repository.name.fl_str_mv Journal of Health & Biological Sciences - Centro Universitário Christus (Unichristus)
repository.mail.fl_str_mv secretaria.jhbs@unichristus.edu.br || editor.jhbs@fchristus.edu.br
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score 15,300719

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