A case of multiple organ failure due to heat stoke following a warm bath

Seung Young Kim, Su Ah Sung, Gang Jee Ko, Chang Su Boo, Sang Kyung Jo, Won Yong Cho, Hyoung Kyu Kim

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Heat stroke is a potentially fatal disorder that's caused by an extreme elevation in body temperature. We report here an unusual case of multiple organ failure that was caused by classical, nonexertional heat stroke due to taking a warm bath at home. A 68 year old diabetic man was hospitalized for loss of consciousness. He was presumed to have been in a warm bath for 3 hrs and his body temperature was 41 °C. Despite cooling and supportive care, he developed acute renal failure, disseminated intravascular coagulation (DIC) and fulminant liver failure. Continuous venovenous hemofiltration was started on day 3 because of the progressive oligouria and severe metabolic acidosis. On day 15, septic ascites was developed and Acinetobacter baumanii and Enterococcus faecium were isolated on the blood cultures. In spite of the best supportive care, the hepatic failure and DIC combined with septic peritonitis progressed; the patient succumbed on day 25.

Original languageEnglish
Pages (from-to)210-212
Number of pages3
JournalKorean Journal of Internal Medicine
Volume21
Issue number3
Publication statusPublished - 2006 Sep 1

Fingerprint

Heat Stroke
Multiple Organ Failure
Disseminated Intravascular Coagulation
Body Temperature
Baths
Hot Temperature
Hemofiltration
Enterococcus faecium
Acinetobacter
Unconsciousness
Acute Liver Failure
Liver Failure
Acidosis
Peritonitis
Acute Kidney Injury
Ascites
Blood Culture

Keywords

  • Disseminated intravascular coagulation
  • Heat stroke
  • Kidney failure
  • Liver failure

ASJC Scopus subject areas

  • Internal Medicine

Cite this

A case of multiple organ failure due to heat stoke following a warm bath. / Kim, Seung Young; Sung, Su Ah; Ko, Gang Jee; Boo, Chang Su; Jo, Sang Kyung; Cho, Won Yong; Kim, Hyoung Kyu.

In: Korean Journal of Internal Medicine, Vol. 21, No. 3, 01.09.2006, p. 210-212.

Research output: Contribution to journalArticle

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AB - Heat stroke is a potentially fatal disorder that's caused by an extreme elevation in body temperature. We report here an unusual case of multiple organ failure that was caused by classical, nonexertional heat stroke due to taking a warm bath at home. A 68 year old diabetic man was hospitalized for loss of consciousness. He was presumed to have been in a warm bath for 3 hrs and his body temperature was 41 °C. Despite cooling and supportive care, he developed acute renal failure, disseminated intravascular coagulation (DIC) and fulminant liver failure. Continuous venovenous hemofiltration was started on day 3 because of the progressive oligouria and severe metabolic acidosis. On day 15, septic ascites was developed and Acinetobacter baumanii and Enterococcus faecium were isolated on the blood cultures. In spite of the best supportive care, the hepatic failure and DIC combined with septic peritonitis progressed; the patient succumbed on day 25.

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