A rare case of full neurological recovery from severe nonexertional heatstroke during a bedrock bath

We report a rare case of full neurological recovery in a 77‐year‐old woman with an initial Glasgow Coma Scale of 3 while taking a bedrock bath. Severe heatstroke was quickly diagnosed, and intensive treatment was immediately provided. Laboratory data showed multi‐organ failure, and her electroenceph...

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Autores principales: Sagisaka, Shogo, Tamune, Hidetaka, Shimizu, Keiki, Kashiyama, Tetsuya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2018
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6030039/
https://www.ncbi.nlm.nih.gov/pubmed/29998044
http://dx.doi.org/10.1002/jgf2.178
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author Sagisaka, Shogo
Tamune, Hidetaka
Shimizu, Keiki
Kashiyama, Tetsuya
author_facet Sagisaka, Shogo
Tamune, Hidetaka
Shimizu, Keiki
Kashiyama, Tetsuya
author_sort Sagisaka, Shogo
collection PubMed
description We report a rare case of full neurological recovery in a 77‐year‐old woman with an initial Glasgow Coma Scale of 3 while taking a bedrock bath. Severe heatstroke was quickly diagnosed, and intensive treatment was immediately provided. Laboratory data showed multi‐organ failure, and her electroencephalogram showed very low amplitude, indicating a poor prognosis; however, she gradually recovered consciousness, and her electroencephalogram normalized, showing a Glasgow Coma Scale of 15 at discharge. This case demonstrated that physicians should pay careful attention when withholding treatment from a patient with severe heatstroke accompanied by a poor initial electroencephalogram result and laboratory data.
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spelling pubmed-60300392018-07-11 A rare case of full neurological recovery from severe nonexertional heatstroke during a bedrock bath Sagisaka, Shogo Tamune, Hidetaka Shimizu, Keiki Kashiyama, Tetsuya J Gen Fam Med Case Reports We report a rare case of full neurological recovery in a 77‐year‐old woman with an initial Glasgow Coma Scale of 3 while taking a bedrock bath. Severe heatstroke was quickly diagnosed, and intensive treatment was immediately provided. Laboratory data showed multi‐organ failure, and her electroencephalogram showed very low amplitude, indicating a poor prognosis; however, she gradually recovered consciousness, and her electroencephalogram normalized, showing a Glasgow Coma Scale of 15 at discharge. This case demonstrated that physicians should pay careful attention when withholding treatment from a patient with severe heatstroke accompanied by a poor initial electroencephalogram result and laboratory data. John Wiley and Sons Inc. 2018-05-31 /pmc/articles/PMC6030039/ /pubmed/29998044 http://dx.doi.org/10.1002/jgf2.178 Text en © 2018 The Authors. Journal of General and Family Medicine published by John Wiley & Sons Australia, Ltd on behalf of Japan Primary Care Association. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Reports
Sagisaka, Shogo
Tamune, Hidetaka
Shimizu, Keiki
Kashiyama, Tetsuya
A rare case of full neurological recovery from severe nonexertional heatstroke during a bedrock bath
title A rare case of full neurological recovery from severe nonexertional heatstroke during a bedrock bath
title_full A rare case of full neurological recovery from severe nonexertional heatstroke during a bedrock bath
title_fullStr A rare case of full neurological recovery from severe nonexertional heatstroke during a bedrock bath
title_full_unstemmed A rare case of full neurological recovery from severe nonexertional heatstroke during a bedrock bath
title_short A rare case of full neurological recovery from severe nonexertional heatstroke during a bedrock bath
title_sort rare case of full neurological recovery from severe nonexertional heatstroke during a bedrock bath
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6030039/
https://www.ncbi.nlm.nih.gov/pubmed/29998044
http://dx.doi.org/10.1002/jgf2.178
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