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

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 continu...

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Autores principales: Onizawa, Nobuyuki, Ishida, Mayumi, Uchida, Nozomu, Sato, Izumi, Yoshioka, Akira, Ito, Hiroshi, Onishi, Hideki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9062558/
https://www.ncbi.nlm.nih.gov/pubmed/35509342
http://dx.doi.org/10.1002/jgf2.523
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author Onizawa, Nobuyuki
Ishida, Mayumi
Uchida, Nozomu
Sato, Izumi
Yoshioka, Akira
Ito, Hiroshi
Onishi, Hideki
author_facet Onizawa, Nobuyuki
Ishida, Mayumi
Uchida, Nozomu
Sato, Izumi
Yoshioka, Akira
Ito, Hiroshi
Onishi, Hideki
author_sort Onizawa, Nobuyuki
collection PubMed
description 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.
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spelling pubmed-90625582022-05-03 Is a decrease in activities of daily living in the elderly irreversible? A case report of Wernicke encephalopathy in home medical care Onizawa, Nobuyuki Ishida, Mayumi Uchida, Nozomu Sato, Izumi Yoshioka, Akira Ito, Hiroshi Onishi, Hideki J Gen Fam Med Case Reports 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. John Wiley and Sons Inc. 2022-02-03 /pmc/articles/PMC9062558/ /pubmed/35509342 http://dx.doi.org/10.1002/jgf2.523 Text en © 2022 The Authors. Journal of General and Family Medicine published by John Wiley & Sons Australia, Ltd on behalf of Japan Primary Care Association. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Reports
Onizawa, Nobuyuki
Ishida, Mayumi
Uchida, Nozomu
Sato, Izumi
Yoshioka, Akira
Ito, Hiroshi
Onishi, Hideki
Is a decrease in activities of daily living in the elderly irreversible? A case report of Wernicke encephalopathy in home medical care
title Is a decrease in activities of daily living in the elderly irreversible? A case report of Wernicke encephalopathy in home medical care
title_full Is a decrease in activities of daily living in the elderly irreversible? A case report of Wernicke encephalopathy in home medical care
title_fullStr Is a decrease in activities of daily living in the elderly irreversible? A case report of Wernicke encephalopathy in home medical care
title_full_unstemmed Is a decrease in activities of daily living in the elderly irreversible? A case report of Wernicke encephalopathy in home medical care
title_short Is a decrease in activities of daily living in the elderly irreversible? A case report of Wernicke encephalopathy in home medical care
title_sort is a decrease in activities of daily living in the elderly irreversible? a case report of wernicke encephalopathy in home medical care
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9062558/
https://www.ncbi.nlm.nih.gov/pubmed/35509342
http://dx.doi.org/10.1002/jgf2.523
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