Is a decrease in activities of daily living in the elderly irreversible? A case report of Wernicke encephalopathy in home medical care

被引：1

作者：

Onizawa, Nobuyuki ^{[1
]}

Ishida, Mayumi ^{[2
]}

Uchida, Nozomu ^{[3
]}

Sato, Izumi ^{[4
]}

Yoshioka, Akira ^{[5
]}

Ito, Hiroshi ^{[6
]}

Onishi, Hideki ^{[2
]}

机构：

[1] Anz Clin, Dept Gen Med, Saitama, Japan

[2] Saitama Med Univ, Dept Psychooncol, Int Med Ctr, 1397-1 Yamane, Saitama 3501298, Japan

[3] Ogano Cent Hosp, Dept Gen Med, Saitama, Japan

[4] Nagasaki Univ, Grad Sch Biomed Sci, Dept Clin Epidmiol, Nagasaki, Japan

[5] Mitsubishi Kyoto Hosp, Dept Med Oncol, Kyoto, Japan

[6] Ito Internal Med & Pediat Clin, Dept Gen Med, Fukuoka, Japan

来源：

JOURNAL OF GENERAL AND FAMILY MEDICINE | 2022年 / 23卷 / 03期

关键词：

activity of daily living; delirium; home medical care; thiamine deficiency; Wernicke encephalopathy; DEFICIENCY; DIAGNOSIS; SETTINGS;

D O I：

10.1002/jgf2.523

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The patient was an 83-year-old male who, after being hospitalized for 70 days for suffocation due to aspiration, was provided with home medical care (HMC) as his physical condition did not allow him to climb stairs. Wernicke encephalopathy (WE) was suspected based on his disorientation and a continued loss of appetite. This diagnosis was supported by abnormal serum thiamine and the disappearance of delirium after thiamine administration. In addition, he became able to use stairs. Patients who receive HMC should undergo active screening and receive treatment with WE in mind.

引用

页码：180 / 182

页数：3

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