Anorexia nervosa: a case report of a teenager presenting with bradycardia, general fatigue, and weakness

Pediatr Emerg Care. 2012 Feb;28(2):174-7. doi: 10.1097/PEC.0b013e3182447a56.


Background: Anorexia nervosa is a disease with high prevalence in adolescents and carries the highest mortality of any psychiatric disorder.

Case: We present a case of a 17-year-old female presenting to the emergency department with bradycardia that was subsequently diagnosed with anorexia nervosa. We also review the clinical features, diagnosis, complications, and emergency department management of this disease.

Conclusions: Patients with anorexia may present with multiple medical complaints, and it is imperative that the emergency physician be familiar with the syndrome so as to correctly identify and treat patients with this disease.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Amenorrhea / etiology
  • Anorexia Nervosa / complications
  • Anorexia Nervosa / diagnosis*
  • Anorexia Nervosa / diet therapy
  • Asthenia / etiology*
  • Bradycardia / etiology*
  • Bradycardia / physiopathology
  • Diet, Reducing / adverse effects
  • Electrocardiography
  • Emergencies
  • Fatigue / etiology*
  • Female
  • Humans
  • Soccer / psychology
  • Vision Disorders / etiology