Refeeding syndrome (RF) is a life-threatening disorder characterized by hypophosphatemia, hypomagnesia, hypokalemia, vitamin deficiencies, altered metabolism of glucose, and dehydration. These manifestations are induced by prolonged fasting in patients with digestive pathologies who are on nutrition therapy, making it an unrecognized complication following artificial nutrition. Case presentation An 82-year-old female was hospitalized due to recurrent vomiting for ten days.
She is also a known case of diabetes, hypertension, and cerebrovascular disease. Observations on admission Febrile and dehydrated Low body mass index: 20.8 kg/m 3 Acute kidney injury: Creatinine 4.1 mg/dl Hypokalaemia: 3.2 mg/dl Hyperphosphatemia: 5.4 mg/dl Normal serum sodium and magnesium levels Upper gastrointestinal endoscopy: Narrow lumen in second/third duodenum parts CT scan: A heterogeneous mass in the…
