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Journal of Case Reports
Thiamine Therapy and Refeeding Syndrome in Extremely Low Birth Weight Infants
Shaker Rouba, Charafeddine Fatme, Charafeddine Lama
Department of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Corresponding Author:
Dr. Lama Charafeddine
Email: lc12@aub.edu.lb
Received: 19-FEB-2016 Accepted: 10-MAY-2016 Published Online: 05-JUL-2016
DOI: http://dx.doi.org/10.17659/01.2016.0074
Abstract
An extremely low birth weight (ELBW) infant with severe intrauterine growth restriction (IUGR), born at 29+1 weeks of gestation, developed severe electrolyte disturbances with metabolic acidosis three days after initiation of total parenteral nutrition (TPN). Correction of acidosis and electrolyte imbalance was only achieved after addition of thiamine infusion. This case-report highlights the importance of thiamine therapy in correcting the metabolic acidosis and electrolyte imbalance associated with refeeding syndrome in infants with severe IUGR.
Keywords : Acidosis, Fetal Growth Retardation, Infant, Refeeding Syndrome, Thiamine.
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