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VOLUME 12 , ISSUE 3 ( September, 2008 ) > List of Articles

CASE REPORT

Refeeding syndrome

Swagata Tripathy, Padmini Mishra, S. C. Dash

Keywords : Hypophosphatemia, malnutrition

Citation Information : Tripathy S, Mishra P, Dash SC. Refeeding syndrome. Indian J Crit Care Med 2008; 12 (3):132-135.

DOI: 10.4103/0972-5229.43683

License: CC BY-ND 3.0

Published Online: 00-09-2008

Copyright Statement:  Copyright © 2008; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

We report a case of a fifty-year-old male who was admitted with a three month history of increasing weakness, prostration, decreasing appetite and inability to swallow. The patient was a chronic alcoholic, unemployed, and of very poor socioeconomic background. The patient was initially investigated for upper GI malignancy, Addisons disease, bulbar palsy and other endocrinopathies. Concurrent management was started for severe electrolyte abnormalities and enteral nutritional supplementation was begun. By the fourth day of feeding patient developed severe hypophosphatemia and other life-threatening features suggesting refeeding syndrome. The patient was managed for the manifestations of refeeding syndrome. A final diagnosis of chronic alcoholic malnutrition with refeeding syndrome was made. Refeeding of previously starving patients may lead to a variety of complications including sudden death.


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