Anorexia nervosa in a young patient with a fatal outcome. Clinical case

Abstract

Anorexia nervosa (NA) is a mental disorder belonging to a group of eating disorders characterized by the patient's rejection of his bodily image and manifested by deliberate weight loss caused and/or maintained by the patient himself with the help of restrictions in eating, creating obstacles to its assimilation or stimulating metabolism. About a third of patients do not respond to treatment, including inpatient. Mortality in NA reaches 20%. The total mortality (for any reason) of patients is 5.2 times higher than the same indicator among women aged 15–34 years in the general population. The most common causes of death are infections, pulmonary edema, electrolyte imbalance, cardiac and respiratory failure, including with nutrition restoration syndrome, aspiration of food masses when feeding through a probe, liver failure. The presented clinical case demonstrates the outcome of the disease of a young patient with multiple organ failure, recurrent bleeding from acute stomach ulcers

Keywords

• anorexia nervosa
• young patient
• multiple organ failure