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Central Hyperthermia Treated with Bromocriptine
Introduction. Central hyperthermia is common in patients with brain injury. It typically has a rapid onset with high temperatures and marked fluctuations and responds poorly to antibiotics and antipyretics. It is also associated with worse outcomes in the brain injured patient. Recognizing this, it...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5350322/ https://www.ncbi.nlm.nih.gov/pubmed/28348904 http://dx.doi.org/10.1155/2017/1712083 |
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author | Natteru, P. George, P. Bell, R. Nattanmai, P. Newey, C. R. |
author_facet | Natteru, P. George, P. Bell, R. Nattanmai, P. Newey, C. R. |
author_sort | Natteru, P. |
collection | PubMed |
description | Introduction. Central hyperthermia is common in patients with brain injury. It typically has a rapid onset with high temperatures and marked fluctuations and responds poorly to antibiotics and antipyretics. It is also associated with worse outcomes in the brain injured patient. Recognizing this, it is important to aggressively manage it. Case Report. We report a 34-year-old male with a right thalamic hemorrhage extending to the midbrain and into the ventricles. During his admission, he developed intractable fevers with core temperatures as high as 39.3°C. Infectious workup was unremarkable. The fever persisted despite empiric antibiotics, antipyretics, and cooling wraps. Bromocriptine was started resulting in control of the central hyperthermia. The fever spikes were reduced to minor fluctuations that significantly worsened with any attempt to wean off the bromocriptine. Conclusion. Diagnosing and managing central hyperthermia can be challenging. The use of bromocriptine can be beneficial as we have reported. |
format | Online Article Text |
id | pubmed-5350322 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-53503222017-03-27 Central Hyperthermia Treated with Bromocriptine Natteru, P. George, P. Bell, R. Nattanmai, P. Newey, C. R. Case Rep Neurol Med Case Report Introduction. Central hyperthermia is common in patients with brain injury. It typically has a rapid onset with high temperatures and marked fluctuations and responds poorly to antibiotics and antipyretics. It is also associated with worse outcomes in the brain injured patient. Recognizing this, it is important to aggressively manage it. Case Report. We report a 34-year-old male with a right thalamic hemorrhage extending to the midbrain and into the ventricles. During his admission, he developed intractable fevers with core temperatures as high as 39.3°C. Infectious workup was unremarkable. The fever persisted despite empiric antibiotics, antipyretics, and cooling wraps. Bromocriptine was started resulting in control of the central hyperthermia. The fever spikes were reduced to minor fluctuations that significantly worsened with any attempt to wean off the bromocriptine. Conclusion. Diagnosing and managing central hyperthermia can be challenging. The use of bromocriptine can be beneficial as we have reported. Hindawi Publishing Corporation 2017 2017-02-28 /pmc/articles/PMC5350322/ /pubmed/28348904 http://dx.doi.org/10.1155/2017/1712083 Text en Copyright © 2017 P. Natteru et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Natteru, P. George, P. Bell, R. Nattanmai, P. Newey, C. R. Central Hyperthermia Treated with Bromocriptine |
title | Central Hyperthermia Treated with Bromocriptine |
title_full | Central Hyperthermia Treated with Bromocriptine |
title_fullStr | Central Hyperthermia Treated with Bromocriptine |
title_full_unstemmed | Central Hyperthermia Treated with Bromocriptine |
title_short | Central Hyperthermia Treated with Bromocriptine |
title_sort | central hyperthermia treated with bromocriptine |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5350322/ https://www.ncbi.nlm.nih.gov/pubmed/28348904 http://dx.doi.org/10.1155/2017/1712083 |
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