A Case of Anorexia Nervosa with Cardiac Arrest Managed With a Multidisciplinary Approach That Included Anabolic Steroid Treatment
Journal Title: Scholars Journal of Medical Case Reports - Year 2018, Vol 6, Issue 6
Abstract
The patient, a 54-year-old woman who could independently carry out her activities of daily living, was found in an unconscious state at home by her mother. She had suffered from malnutrition since she was a teenager. When emergency medical technicians checked her, she was in a state of cardiopulmonary arrest; thus, they performed basic cardiopulmonary resuscitation. Spontaneous circulation was obtained after one cycle of chest compression. When she was examined by medical personnel who were dispatched by a physician-staffed helicopter, she was in a hypoglycemic state (glucose level of 10 mg/dl). Glucose infusion was administered after securing a venous route. On arrival, her height was 157 cm, and her weight was 28 kg, which corresponded to a body mass index of 13.She was diagnosed with anorexia nervosa with severe malnutrition, hypoxic and hypoglycemic encephalopathy, Takotsubo cardiomyopathy, and liver dysfunction due to kwashiorkor after examinations. The post-admission course was eventful and treated by multidisciplinary treatment that included the administration of anabolic steroids. Her body weight eventually increased to 33 kg, and her anabolic steroid dose was tapered. She was transported to a local medical facility for rehabilitation and mental support on the 91st hospital day. Multidisciplinary treatment including the administration of anabolic steroids may help improve a critically ill condition in patients with anorexia nervosa.
Authors and Affiliations
Hiromichi Ohsaka MD. PhD. , Hiroki Nagasawa MD. , Ikuto Takeuchi MD. , Akihiko Kondo MD. , Kei Jitsuiki MD. , Shunsuke Madokoro MD. , Kouhei Ishikawa MD. PhD. , Kazuhiko Omori MD. PhD. , Youichi Yanagawa MD. PhD.
Keywords
Related Articles
- EP ID EP484792
- DOI -
- Views 82
- Downloads 0
Splenic injury with right rib fractures- Case report
A 62-year-old male wearing a seatbelt drove and stopped his car around a curve. Another car, driving at a right angle to the curve at a speed of 20-30 km, directly collided into the right side (driver’s side) of the car...
Fortuitous Discovery of A Primary Ovarian ChoriocarcinomaDuringa Caesarean Section: About a Case
Pure ovarian choriocarcinomas are extremely rare and aggressive tumors that may be gestational or non-gestational in origin. Due the rarity of tumor, there is aack of information on the clinicopathologic features, diagno...
Giant Retroperitoneal Tumor: An Unusual Localization of Malignant Peripheral Nerve Sheet Tumor
Malignant peripheral nerve sheath tumors (MPNST) are considered a rare entity, especially in the retro peritoneum. We report the case of a 32 years old woman, with the history of Von Recklinghausen disease, who presented...
Bardet-Biedl Syndrome: A Rare Case Reported in Two Siblings of Muzaffarnagar District, India
Bardet-Biedl syndrome (BBS) is a rare autosomal recessive genetic disorder belonging to the family of ciliopathies and characterized by heterogeneous clinical manifestations including rod-cone dystrophy, polydactyly, obe...
Squamous cell carcinoma of tongue in an adolescent: Case Report and review of literature
Squamous cell carcinoma (SCC) of the tongue is an uncommon clinical entity among the children and teenagers. Most commonly, squamous cell carcinoma of the head & neck presents during the fifth and sixth decade of life in...