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Case Reports
. 2018 Jan 31;12(1):22.
doi: 10.1186/s13256-018-1566-6.

Refeeding syndrome in adults with celiac crisis: a case report

Sonia Hammami  1   2   3 , Houda Lazreg Aref  4 , Messouda Khalfa  5   4 , Ines Kochtalli  5 , Mohamed Hammami  4
Affiliations
Case Reports

Refeeding syndrome in adults with celiac crisis: a case report

Sonia Hammami et al. J Med Case Rep. .

Abstract

Background: Refeeding syndrome is a rare and life-threatening pathology with polyvisceral manifestations occurring in severely malnourished patients. It is rarely described in adults with celiac disease.

Case presentation: We report the case of a 28-year-old Tunisian woman followed up for celiac disease, who did not adhere to the gluten-free diet. She presented to our hospital with celiac crisis manifested by severe diarrhea, and metabolic and electrolyte disturbances. The treatment of electrolyte abnormalities, hydration, and nutritional support was marked by the occurrence on the fifth day of refeeding syndrome with psychomotor agitation followed by respiratory distress and a state of cardiogenic shock.

Conclusions: Refeeding syndrome is still under-recognized. It should be systematically prevented for high-risk patients. Nutritional support in patients with celiac crisis should be monitored carefully since the risk of refeeding syndrome is very high with a poor prognosis.

Keywords: Celiac crisis; Celiac disease; Refeeding Syndrome; feeding.

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Conflict of interest statement

Ethics approval and consent to participate

Not applicable.

Consent for publication

Written informed consent was obtained from the patient’s next-of-kin for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

Competing interests

The authors declare that they have no competing interests.

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Figures

Fig. 1
Fig. 1
Villous atrophy with increased intraepithelial lymphocyte count (hematoxylin and eosin ×100)
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