Case Report of Malignant Hyperthermia in the Emergency Department

INTRODUCTION: Malignant hyperthermia (MH) is a rare but deadly condition that may be encountered in the emergency department (ED). This report highlights a case of a patient who initially presented for acute agitation with hypertension and tachycardia and provides explanation for how to manage MH. C...

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Detalles Bibliográficos
Autores principales: McMurray, Mitchell, Sowers, Austin, Orthober, Raymond, Huecker, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10247178/
https://www.ncbi.nlm.nih.gov/pubmed/37285489
http://dx.doi.org/10.5811/cpcem.1402
Descripción
Sumario:INTRODUCTION: Malignant hyperthermia (MH) is a rare but deadly condition that may be encountered in the emergency department (ED). This report highlights a case of a patient who initially presented for acute agitation with hypertension and tachycardia and provides explanation for how to manage MH. CASE REPORT: A 44-year-old male presented to the ED with altered mental status, eventually requiring intubation with etomidate and succinylcholine. Despite being afebrile initially, the patient developed a rectal temperature of 105.3° Fahrenheit (F) with significantly elevated arterial carbon dioxide levels after intubation. The treating team initiated cooling measures and dantrolene, leading to a positive outcome. CONCLUSION: Clinicians should strive for expeditious recognition of MH and treatment with an updated institutional protocol.

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