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Refeeding Syndrome Induced by Fursultiamine Infusion in Wernicke Encephalopathy: A Case Report

Year: 2026

Type: article

Abstract: Wernicke encephalopathy is caused by thiamine deficiency, and treatment with high-dose thiamine is recommended for its management. We herein report the case of an older adult woman who developed refeeding syndrome after receiving intravenous fursultiamine. Although the patient's oral food intake was restricted to prevent refeeding syndrome, the total caloric load, including glucose contained in fursultiamine, exceeded the recommended amount. This case demonstrates that the caloric contribution of glucose present in fursultiamine should not be overlooked when treating Wernicke encephalopathy with high-dose parenteral fursultiamine.

Source: Internal Medicine

DOI: 10.2169/internalmedicine.7285-26

Authors: Shotaro Ishikawa, Satoshi Ota, Natsuko Nakazaki, Yoshio Nagai, Takashi Ikehara

Institution: Kanto Rosai Hospital

Language: English

Topic: Alcoholism and Thiamine Deficiency

Subfield: Clinical Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7169499402

FWCI:

Cites: 10

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Related to: 10