| Autor: |
Kamidani, Ryo, Okada, Hideshi, Kitagawa, Yuichiro, Kusuzawa, Keigo, Ichihashi, Masahiro, Kakino, Yoshinori, Oiwa, Hideaki, Yasuda, Ryu, Fukuta, Tetsuya, Yoshiyama, Naomasa, Miyake, Takahito, Okamoto, Haruka, Suzuki, Kodai, Yamada, Noriaki, Doi, Tomoaki, Yoshida, Takahiro, Ushikoshi, Hiroaki, Kumada, Keisuke, Yoshida, Shozo, Ogura, Shinji |
| Předmět: |
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| Zdroj: |
Journal of Medical Case Reports; 1/28/2021, Vol. 15 Issue 1, p1-6, 6p |
| Abstrakt: |
Background: Heat-related illnesses include symptoms such as heat syncope/cramps, heat exhaustion, and life-threatening heat stroke. Usually, a heat stroke causes cerebellar ataxia, cognitive impairment, dysphagia, and aphasia. We report a very rare case of a patient who developed severe heat stroke complicated by multiple cerebral infarctions.Case Presentation: An 80-year-old Asian woman was found lying unconscious at her house, with no air conditioner and closed windows; the highest outside temperature was 36.1 °C. She was brought to our hospital unconscious with a high bladder temperature (42.5 °C) and disseminated intravascular coagulation (DIC score 4). She was diagnosed with severe heat stroke and managed with rapid cooling, intravenous fluids therapy, antibiotic therapy, and anti-coagulation therapy for DIC. Anti-coagulation therapy consisted of treatment with recombinant thrombomodulin for 4 days (days 1-4) and recombinant antithrombin for 1 day (day 1). A head computed tomography (CT) and magnetic resonance imaging (MRI) examination were performed on day 3, because she was still unconscious. Diffuse-weighted imaging showed high-signal intensities, indicating multiple lesions. An intracranial magnetic resonance angiography showed normal results. Imaging indicated new multiple cerebellar infarctions complicated with DIC. A tracheotomy was performed on day 9 because her conscious condition had not improved. She was transferred to another hospital for subacute care on day 23.Conclusions: Early management of heat stroke using anti-DIC, anti-bacterial, and fluid resuscitation therapy can help prevent complications such as intracranial hemorrhaging. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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