Abstract
A 73-year-old diabetic patient on maintenance hemodialysis was admitted to our hospital for MRSA arteriovenous graft (AVG) infection and pyogenic vertebral osteomyelitis. Because it is difficult to establish AV fistulation, hemodialysis was converted to peritoneal dialysis. Antibiotics were started and AVG was removed with stable infection control. Myoclonus and generalized convulsion developed 86 days after admission. No evidence of an acute CNS lesion was discovered, nor electrolyte and glycemic disturbance. Because the patient was malnourished, Wernicke's encephalopathy was suspected. The intravenous administration of thiamine was started, with the rapid resolution of myoclonus and generalized convulsion.
