Elderly‐onset acute necrotizing encephalopathy mimicking severe heat stroke: a case report and review of the literature
| Autor: | Yoshihiro Takeyama, Arisa Odagiri, Naofumi Bunya, Kei Miyata, Takeshi Mikami, Shuji Uemura, Takehiko Kasai, Ayumu Yamaoka, Eichi Narimatsu |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Hyperthermia
Pediatrics medicine.medical_specialty Bilateral symmetrical thalamic lesions Case Report Case Reports 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine influenza‐associated encephalopathy medicine Medical history Stroke Acute necrotizing encephalopathy business.industry RC86-88.9 General Engineering Medical emergencies. Critical care. Intensive care. First aid medicine.disease Antigen test hyperthermia Elderly onset Differential diagnosis business 030217 neurology & neurosurgery Encephalitis |
| Zdroj: | Acute Medicine & Surgery Acute Medicine & Surgery, Vol 6, Iss 3, Pp 316-320 (2019) |
| ISSN: | 2052-8817 |
| Popis: | Background Acute necrotizing encephalopathy (ANE), known as influenza-associated encephalitis, typically affects children. Case presentation A 70-year-old woman was admitted to the hospital with altered consciousness, a high temperature, and severe hypotension. Computed tomography (CT) of the head showed no abnormalities; thus, a diagnosis of suspected severe heat stroke was made. On day 2, repeated head CT revealed bilateral symmetrical lesions to the thalamus, and a rapid influenza antigen test was positive. Based on the CT findings and the medical history of influenza, a differential diagnosis of ANE was made. Subsequently, brain edema spread across the whole brain, and the patient died on day 21. Conclusion In elderly patients, differentiating ANE from severe heat stroke in a high-temperature environment is difficult because of the similarities in clinical symptoms due to multiple organ failure. |
| Databáze: | OpenAIRE |
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