# Pan beriberi in a Young Male: A Case Report

## TL;DR

A young man with unexplained heart failure, neurological issues, and gut problems was diagnosed with pan beriberi, a severe thiamine deficiency that can be treated with high-dose thiamine.

## Contribution

Highlights the importance of considering pan beriberi in young patients with acute heart failure and neurological symptoms.

## Key findings

- Pan beriberi can present with acute heart failure, neurological deficits, and gastrointestinal pseudo-obstruction in young patients.
- High-dose thiamine therapy can be lifesaving even without laboratory confirmation.
- Chest X-rays showed reversible cardiac involvement due to thiamine deficiency.

## Abstract

Pan beriberi should be considered in young patients with unexplained acute heart failure, neurological deficits, and gastrointestinal pseudo‐obstruction, particularly in malnutrition or chronic alcohol use. Early clinical recognition and prompt high dose thiamine therapy can be lifesaving, even where laboratory confirmation is unavailable.

Chest X‐ray findings of cardiomegaly and pulmonary congestion in pan beriberi reflecting reversible cardiac involvement due to thiamine deficiency.