Book contents
- 55 Cases in Neurology
- 55 Cases in Neurology
- Copyright page
- Contents
- Preface
- Acknowledgements
- Section 1 Visual Disturbance
- Section 2 Headache and Pain
- Section 3 Weakness
- Section 4 Behavioural and Language Changes
- Section 5 Confusion
- Case 34 Clouding of Consciousness in Hospital
- Case 35 Leaky Effects of Rising Pressure
- Case 36 Smoking Encephalopathy
- Case 37 Losing Running Memories
- Section 6 Movement Disturbances
- Section 7 Acute Onset of Neurological Symptoms
- Index
- Plate Section (PDF Only)
- References
Case 34 - Clouding of Consciousness in Hospital
from Section 5 - Confusion
Published online by Cambridge University Press: 27 July 2023
Book contents
- 55 Cases in Neurology
- 55 Cases in Neurology
- Copyright page
- Contents
- Preface
- Acknowledgements
- Section 1 Visual Disturbance
- Section 2 Headache and Pain
- Section 3 Weakness
- Section 4 Behavioural and Language Changes
- Section 5 Confusion
- Case 34 Clouding of Consciousness in Hospital
- Case 35 Leaky Effects of Rising Pressure
- Case 36 Smoking Encephalopathy
- Case 37 Losing Running Memories
- Section 6 Movement Disturbances
- Section 7 Acute Onset of Neurological Symptoms
- Index
- Plate Section (PDF Only)
- References
Summary
A 70-year-old woman, who had been mobilising at home with a Zimmer frame, went off her food. She developed vomiting and diarrhoea and ate less food than usual for three weeks. She was then admitted to a surgical ward in hospital with abdominal pain. While in hospital, she became less responsive. A neurology referral was made two weeks into her admission. By that stage, she had had little nutrition for five weeks. She had been treated for a presumed urinary tract infection with piperacillin with tazobactam (a beta-lactamase inhibitor).
- Type
- Chapter
- Information
- 55 Cases in NeurologyCase Histories and Patient Perspectives, pp. 237 - 242Publisher: Cambridge University PressPrint publication year: 2023
References
Shible, AA, Ramadurai, D, Gergen, D, Reynolds, PM. Dry beriberi due to thiamine deficiency associated with peripheral neuropathy and Wernicke’s encephalopathy mimicking Guillain Barré syndrome: a case report and review of the literature. Am J Case Rep. 2019;20:330–4.CrossRefGoogle ScholarPubMed
Sechi, G, Serra, A. Wernicke’s encephalopathy: new clinical settings and recent advances in diagnosis and management. Lancet Neurol. 2007;6(5):442–55.Google Scholar
Weathers, AL, Lewis, SL. Rare and unusual … or are they? Less commonly diagnosed encephalopathies associated with systemic disease. Semin Neurol. 2009;29(2):136–53.CrossRefGoogle ScholarPubMed