The Fire from Within: Multiorgan Failure with Bimodal Rhabdomyolysis from Exertional Heat Stroke
Autor: | Rohana Elise Rollan, Elizabeth Sebastian, Khia Quiwa, Edhel Tripon, Onion Gerald V Ubaldo |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
medicine.medical_treatment Context (language use) Case Report RC799-869 030204 cardiovascular system & hematology Liver transplantation Extracorporeal 03 medical and health sciences 0302 clinical medicine Refractory Internal medicine medicine Stroke Liver injury biology business.industry General Medicine Diseases of the digestive system. Gastroenterology medicine.disease biology.protein Cardiology 030211 gastroenterology & hepatology Creatine kinase business Rhabdomyolysis |
Zdroj: | Case Reports in Hepatology Case Reports in Hepatology, Vol 2020 (2020) |
ISSN: | 2090-6595 2090-6587 |
Popis: | Heat stroke (HS) is a condition characterized by a rise in core body temperature and central nervous system dysfunction. It is divided into two types: classical and exertional. Exertional heat stroke (EHS) is accompanied by organ failure. Liver injury, presenting only with a rise in liver enzymes, is common but in rare conditions, acute liver failure (ALF) may ensue, leading to a potentially lethal condition. Most cases of EHS-induced ALF are managed conservatively. However, liver transplantation is considered for cases refractory to supportive treatment. Identifying patients eligible for liver transplantation in the context of an EHS-induced ALF becomes a medical dilemma since the conventional prognostic criterion may be difficult to apply, and there is paucity of literature about these specific sets of individuals. Recently, extracorporeal liver support has been gaining popularity for patients with liver failure as a bridge to liver transplant. In this case report, we present a young Filipino athlete with symptoms and clinical course consistent with EHS that developed multiorgan failure, initially considered a candidate for liver transplant and total plasma exchange, but clinically improved with supportive management alone. This patient was also found to have bimodal rhabdomyolysis during the course of his hospital stay as manifested by the bimodal rise in his creatine kinase enzymes. |
Databáze: | OpenAIRE |
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