Refeeding Syndrome with Severe Electrolyte Imbalance Leading to Quadriparesis: A Case Report

Refeeding syndrome is a rare aetiology of acute flaccid paralysis due to combined electrolyte shifts. We present the case of a 61-year-old South Asian male who developed acute symmetrical weakness of all four limbs following nutritional rehabilitation. Investigations revealed severe hypokalaemia, profound hypophosphataemia, and hypomagnesaemia associated with rhabdomyolysis and metabolic alkalosis. A comprehensive evaluation confirmed the diagnosis of refeeding syndrome as the underlying cause, emphasising the need for early recognition and structured electrolyte monitoring during refeeding.