The case study patient was a 57-year-old married man with no history of mental illness.
Because his filial relationships were strained, he had self-managed his diet for the past five years, consuming only his favorite convenience store-bought processed food with no regard for nutritional balance—a significant detail because poor dietary intake can be responsible. of vitamin B12. deficiency.
He was absent from work due to low back pain four months prior to hospitalization.
Two months before hospitalization, she experienced numbness in her right hand and presented to a hospital internal medicine department, but no abnormalities were detected.
READ MORE: Man, 32, hospitalized with B12 deficiency after his 3 symptoms “got worse for 10 days”
Approximately 17 days prior to hospitalization, she developed difficulty standing up, incontinence, and hallucinations.
She presented to the psychiatric department of another hospital after two days of experiencing these symptoms and was diagnosed with depression.
Because his physical symptoms persisted and psychiatric symptoms “worsened,” he was referred to a psychiatric outpatient clinic 12 days before hospitalization, the case study notes.
The patient’s symptoms of depression were not noticeable, but difficulty standing up, incontinence, and hallucinations such as “seeing the shape of a middle-aged man” were still present.
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The results of the blood tests and head CT scans were almost within normal limits. But his behavior became progressively erratic.
Thus, he was referred and admitted to a psychiatric hospital for “examination of organic diseases and with suspicion of acute and transient psychotic disorder,” the case study indicates.
During this time, the patient developed severe abdominal pain and black stools and was transferred to the emergency department of a university hospital (nine days after his admission to the psychiatric hospital).
Blood tests indicated anemia and renal dysfunction. This is significant. Anemia, where you have fewer red blood cells than normal or have an abnormally low amount of a substance called hemoglobin in each red blood cell, is primarily responsible for vitamin B12 deficiency.
On day 19 of hospitalization, his renal function, anemia, and delirium improved, along with his general condition.
“In our patient, the cause of vitamin B12 deficiency was thought to be a combination of reduced dietary intake due to an unbalanced diet, vitamin malabsorption due to atrophic gastritis, and enteritis,” the case study authors wrote.
B12 deficiency treatment
Most people can easily be treated with injections or tablets to replace missing vitamins.
Good sources of vitamin B12 include:
- Meat
- salmon and cod
- Milk and other dairy products
- Eggs.
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