Exertional Heat Stroke-Induced Acute Liver Failure and Liver Transplantation

被引:4
|
作者
Lin, Jessica S. [1 ]
Zaffar, Duha [2 ]
Muhammad, Haris [2 ]
Ting, Peng-Sheng [2 ]
Woreta, Tinsay [2 ]
Kim, Amy [2 ]
Kohli, Ruhail [2 ]
Oshima, Kiyoko [3 ]
Cameron, Andrew [4 ]
Philosophe, Benjamin [4 ]
Ottmann, Shane [4 ]
Wesson, Russell [4 ]
Gurakar, Ahmet [2 ]
机构
[1] Johns Hopkins Univ, Dept Med, Sch Med, Baltimore, MD USA
[2] Johns Hopkins Univ, Div Gastroenterol & Hepatol, Dept Med, Sch Med, Baltimore, MD 21218 USA
[3] Johns Hopkins Univ, Div Gastroenterol & Liver Pathol, Dept Pathol, Sch Med, Baltimore, MD USA
[4] Johns Hopkins Univ, Div Transplant Surg, Dept Surg, Sch Med, Baltimore, MD USA
关键词
N-ACETYLCYSTEINE; INJURY;
D O I
10.14309/crj.0000000000000820
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Exertional heat stroke is a medical emergency characterized by excessive heat production and inadequate heat dissipation usually after heavy exertion in hot and humid climates and can be associated with multiorgan failure. Treatment is largely supportive, but liver transplantation (LT) may be necessary in select patients. Here, we report the case of a 44-year-old runner who was found unconscious after a 5-mile run and developed acute liver failure. He underwent successful LT 1 week later when he developed encephalopathy. This case report illustrates the importance of early LT referral in patients with exertional heat stroke-induced acute liver failure.
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页数:4
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