We observed a 51-year-old woman who was admitted for severe amitriptyline overdose. Besides major cardiovascular complications, the patient developed severe hyperpyrexia with a central body temperature of more than 43 degrees C for 5 h. The patient died on day 3 from cardiocirculatory collapse and arrhythmias. Hyperthermia was unresponsive to cooling with ice water, gastric lavage, muscle relaxation, and dantrolene and bromocriptine administration. The possible mechanisms of refractory hyperthermia are discussed.
机构:
Hull Royal Infirm, Dept Accid & Emergency, Kingston Upon Hull HU3 2JZ, N Humberside, EnglandHull Royal Infirm, Dept Accid & Emergency, Kingston Upon Hull HU3 2JZ, N Humberside, England
机构:
Harvard Univ, Sch Med, Div Emergency Med, Boston, MA USABrigham & Womens Hosp, Dept Emergency Med, Boston, MA 02115 USA
Agrawal, Pooja
Nadel, Eric S.
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Brigham & Womens Hosp, Dept Emergency Med, Boston, MA 02115 USA
Harvard Univ, Sch Med, Div Emergency Med, Boston, MA USA
Massachusetts Gen Hosp, Dept Emergency Med, Boston, MA 02114 USABrigham & Womens Hosp, Dept Emergency Med, Boston, MA 02115 USA
Nadel, Eric S.
Brown, David F. M.
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Univ, Sch Med, Div Emergency Med, Boston, MA USA
Massachusetts Gen Hosp, Dept Emergency Med, Boston, MA 02114 USABrigham & Womens Hosp, Dept Emergency Med, Boston, MA 02115 USA