| Two Childhood Cases of Heat Stroke with Rhabdomyolysis and Multiorgan Failure |
|
Yang-Suk Jung, Jae-Young Lim, Yun-Kyeong Cho, Gye-Woo Yi, Chan-Hoo Park, Hyang-Ok Woo, Hee-Shang Youn |
|
Department of Pediatrics, Gyeongsang National University College of Medicine, Chinju, Korea |
| 소아에서 경험한 열사병에 의한 횡문근 융해증 및 다장기 부전 2례 |
|
정양숙, 임재영, 조윤경, 이계우, 박찬후, 우향옥, 윤희상 |
|
경상대학교 의과대학 소아과학교실 |
|
|
|
|
| Abstract |
|
Heat stroke occurs when body thermal regulation is upset and unable to dissipate adequate
amounts of heat with rise in body temperature. Thus heat stroke may result in rhabdomyolysis
and multiorgan failure. We observed two childhood cases of heat stroke with rhabdomyolysis and
multiorgan failure. One case was caused by accidentally being left in a car trunk for 3 hours on a
sunny afternoon in late spring and the other case occurred climbing a mountain on a hot summer
day during a school trip for improving individual self-control. The first case, a boy almost 5 years
old, displayed thetypical clinical features of heat stroke including hyperpyrexia, CNS disturbance,
hot dry skin, acute liver failure, rhabdomyolysis, oligo- anuric acute renal failure, and disseminated
intravascular coagulopathy. He was treated with general supportive care and daily hemodialysis.
Despite the aggressive management, he died of shock on the sixteenth day of admission day. The
second case, a 14-year-old middle school boy, displayed similiar features of the first case but
showed milder symptoms. He was also treated with general supportive care and daily hemodialysis
for 10 days. He recovered completely and was discharged in good condition. The public including
medical and paramedical personnels should be warned of the dangers of childhood heat stroke,
which is potentially lethal, but preventable. |
| Key Words:
Heat stroke, Rhabdomyolysis, Multiorgan failure, Children |
|
PDF Links
Download Citation
