A case of fulminant rhabdomyolysis after total removal of a craniopharyngioma

Autor:	Yoshikata Shimizu, Shin Nunomiya, Tatsuya Kubota, Masaru Tanno
Rok vydání:	1998
Předmět:	Hyperthermia medicine.medical_specialty business.industry Fulminant Metabolic acidosis medicine.disease Craniopharyngioma Dantrolene Surgery Continuous hemodiafiltration Anesthesia medicine Total removal business Rhabdomyolysis medicine.drug
Zdroj:	Nihon Shuchu Chiryo Igakukai zasshi. 5:217-220
ISSN:	1882-966X 1340-7988
DOI:	10.3918/jsicm.5.217
Popis:	We reported a case of fulminant rhabdomyolysis with a high fever of more than 40°C which occured 4 days after total removal of a craniopharyngioma. After admission to the ICU, the patient was treated with surface cooling, wash-out therapy and continuous hemodiafiltration, together with the administration of dantrolene, methyl prednisolone, gabexate mesilate and ulinastatin.The patient became afebrile with this treatment, but multiple organ failure and severe metabolic acidosis led to death on the 2nd ICU day. We suspect that the cause of rhabdomyolysis was hyperthermia caused by the failure of the thermoregulatory center a few days after surgery for craniopharyngioma.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::110bf14334946473274d3c19ba3259ae https://doi.org/10.3918/jsicm.5.217 Zobrazit plný text záznamu