Annals of Clinical Nutrition and Metabolism

Case Report

Development of Wernicke’s Encephalopathy during Total Parenteral Nutrition Therapy without Additional Multivitamin Supplementation in a Patient with Intestinal Obstruction: A Case Report: Cheong Ah Oh; Ann Clin Nutr Metab 2022;14(2):93-96. Published online December 1, 2022; DOI: https://doi.org/10.15747/ACNM.2022.14.2.93

Abstract PDF ePub: Wernicke’s encephalopathy (WE) is a serious neurological disorder that can be fatal if not properly treated. In this current paper, I present the case of a 51-year-old male with a perivesical fistula between a presacral abscess and the rectus abdominis muscle. He received total parenteral nutrition therapy during a fasting period because of small bowel obstruction and later developed WE. The patient’s WE-related symptoms improved following rapid treatment with high doses of thiamine.

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