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Severe heat stroke complicated by multiple cerebral infarctions: a case report.
Ryo Kamidani1, Hideshi Okada2, Yuichiro Kitagawa1
1Advanced Critical Care Center, Gifu University Hospital, 1-1 Yanagido, Gifu, 501-1194, Japan.
Journal of Medical Case Reports
|January 28, 2021
Summary
Severe heat stroke in an elderly patient led to multiple cerebral infarctions. Early management with anti-DIC, anti-bacterial, and fluid therapy may prevent severe complications like intracranial hemorrhaging.
Area of Science:
- Neurology
- Emergency Medicine
- Environmental Health
Background:
- Heat-related illnesses, including heat stroke, can cause severe neurological deficits.
- Heat stroke is a medical emergency requiring prompt intervention to prevent fatal outcomes.
Observation:
- An 80-year-old woman presented with severe heat stroke (42.5°C core temperature) and disseminated intravascular coagulation (DIC).
- Despite initial cooling and fluid resuscitation, the patient remained unconscious and developed multiple cerebellar infarctions.
- Cerebral infarctions were identified via CT and MRI, indicating significant neurological damage.
Findings:
- The patient's condition was complicated by multiple cerebral infarctions, a rare but severe consequence of heat stroke.
- Treatment included rapid cooling, IV fluids, antibiotics, and anticoagulation therapy (recombinant thrombomodulin and antithrombin).
Implications:
- This case highlights the potential for severe neurological complications, such as cerebral infarctions, in heat stroke patients.
- Early management strategies, including anti-DIC, anti-bacterial, and fluid resuscitation, are crucial for preventing complications like intracranial hemorrhaging and improving outcomes.
