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Acta Medica Colombiana

Print version ISSN 0120-2448

Abstract

ALVA-ARROYO, NANCY VERÓNICA et al. Enteral nutrition and refeeding syndrome in a patient with anorexia nervosa and COVID-19. Acta Med Colomb [online]. 2023, vol.48, n.1, pp.1-.  Epub Mar 29, 2024. ISSN 0120-2448.  https://doi.org/10.36104/amc.2023.2626.

Introduction:

the evidence on the health problem-related prevalence of COVID-19 is an emergency.

Case report:

we present the case of a 28-year-old woman who had had a behavioral eating disorder (BED) since age 12. Her body mass index (BMI) was 13.6 kg/m2. She was hospitalized for a respiratory condition (bronchospasm) due to COVID-19, with supplementary oxygen at two liters. During her stay, she refused food and was started on standard enteral nutrition via a naso-gastric tube. She developed refeeding syndrome (RFS), which was managed with electrolytes, and her enteral diet was changed to a low-carbohydrate high-protein diet. She received psychological therapy through video calls, recovered, and was discharged to home.

Discussion:

refeeding complications increase when a high caloric rate is begun. The standard enteral formula has 54% carbohydrates, which contributes to the risk of developing RFS. The consequences of BED and COVID-19 are unknown, and it is likely to become more evident over time. (Acta Med Colomb 2022; 48. DOI:https://doi.org/10.36104/amc.2023.2626).

Keywords : eating disorder; COVID-19; anorexia nervosa; refeeding syndrome.

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