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[A child with hyperpyrexia syndrome and multiple organ failure caused by and an orthopedic corset]
1Emma Kinderziekenhuis/Het Kinder AMC, onderafd. Intensive Care Kinderen, Amsterdam.
Insights
Orthopaedic corsets can increase heat stroke risk in children with congenital multiple arthrogryposis, especially during hot weather. Suspend corset use in febrile children to prevent hyperpyrexia and multiorganic failure.
Area of Science:
- Pediatrics
- Orthopaedics
- Environmental Health
Background:
- Congenital multiple arthrogryposis is a rare condition affecting joint mobility.
- Orthopaedic corsets are sometimes used to manage musculoskeletal deformities.
- Children with underlying health conditions may be more vulnerable to environmental stressors.
Observation:
- A 4-year-old boy with congenital multiple arthrogryposis experienced heat stroke during summer.
- The patient was using an orthopaedic corset nightly.
- Symptoms included hyperpyrexia and multiorganic failure.
Findings:
- Heat stroke developed in a child with arthrogryposis using an orthopaedic corset in hot weather.
- Prompt medical treatment, including fluids, antibiotics, and anticonvulsants, led to complete recovery.
- The case highlights a potential risk associated with orthopaedic corsets in febrile children during heat waves.
Implications:
- Temporary suspension of orthopaedic corset use is recommended for children with fever, particularly in hot climates.
- This measure can help prevent heat-related illnesses like heat stroke and subsequent organ damage.
- Further research may be warranted to establish specific guidelines for managing orthopaedic devices in vulnerable pediatric populations during extreme temperatures.
Abstract:
A 4-year-old boy who each night was placed in an orthopaedic corset because of congenital multiple arthrogryposis developed heat stroke with hyperpyrexia and multiorganic failure in a hot summer. Treatment consisted of administration of fluids, antibiotics and anticonvulsive agents; the child recovered completely. In children who are sick and have fever, the use of such corsets should temporarily be suspended.