Shoshin beriberi with hyponatremia in a beer drinker
Delorme, N.; Cornette, A.; Maurin, P.; Polu, J.M.; Sadoul, P.
Presse Medicale 15(40): 2005-2009
1986
ISSN/ISBN: 0755-4982 PMID: 2948171 Document Number: 281675
Shoshin beriberi.sbd.a fulminant form of cardiovascular beriberi.sbd.and severe hyponatremia were observed concomitantly in a heavy beer drinker. Hyponatremia due to water overload and not to sodium deficiency is not a feature of the true beer drinker syndrome. Cardiogenic shock with major lactic acidosis developed. This case confirms the remarkable effectiveness of thiamine and the ineffectiveness of cardiotonic and vasoconstrictive drugs in such cases.