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Related Experiment Videos

[Heat stroke with alpha coma. A case report].

J Gandjour1, J Oehler, A Mohr

  • 1Neurologische Klinik, Universität Heidelberg. joubin.gandjour@usz.ch

Der Nervenarzt
|May 6, 2004
PubMed
Summary
This summary is machine-generated.

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A severe heat stroke case highlights the critical condition of a patient with high core body temperature. Despite initial poor prognosis, the patient recovered consciousness and was discharged, though with a moderate neurological deficit.

Area of Science:

  • Medicine
  • Neurology
  • Critical Care

Background:

  • Heat stroke is a medical emergency characterized by hyperthermia and central nervous system dysfunction.
  • Prompt recognition and management are crucial for patient outcomes.

Observation:

  • A 41-year-old patient presented with near-fatal heat stroke and a core body temperature of 41.5°C.
  • Clinical course involved systemic inflammatory response syndrome, multiorgan failure, and non-reactive alpha coma on EEG.
  • The patient developed cerebral toxoplasmosis during recovery.

Findings:

  • The patient regained consciousness after 16 days in intensive care.
  • Cerebral toxoplasmosis was treated successfully with sulfadiazine and pyrimethamine.
  • A moderate neurological deficit was noted upon transfer to neurorehabilitation 65 days post-onset.

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Implications:

  • This case underscores the potential for severe complications following heat stroke, including neurological sequelae.
  • Aggressive management in intensive care can lead to recovery even in critical cases.
  • The development of opportunistic infections like cerebral toxoplasmosis warrants consideration in immunocompromised or critically ill patients.