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J Med Case Rep. 2018 Jan 31;12(1):22. doi: 10.1186/s13256-018-1566-6.

Refeeding syndrome in adults with celiac crisis: a case report.

Author information

1
Department of Internal Medicine, CHU. F. Bourguiba, Monastir, Tunisia. Sonia.Hammami@fmm.rnu.tn.
2
Biochemistry Laboratory, LR12ES05 Nutrition-Functional Foods and Vascular Health" Faculty of Medicine, University of Monastir, Monastir, Tunisia. Sonia.Hammami@fmm.rnu.tn.
3
Department of Internal Medicine, University Hospital F. Bourguiba, Monastir, Tunisia. Sonia.Hammami@fmm.rnu.tn.
4
Biochemistry Laboratory, LR12ES05 Nutrition-Functional Foods and Vascular Health" Faculty of Medicine, University of Monastir, Monastir, Tunisia.
5
Department of Internal Medicine, CHU. F. Bourguiba, Monastir, Tunisia.

Abstract

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.

KEYWORDS:

Celiac crisis; Celiac disease; Refeeding Syndrome; feeding

PMID:
29382373
PMCID:
PMC5791168
DOI:
10.1186/s13256-018-1566-6
[Indexed for MEDLINE]
Free PMC Article

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