A Hot Body in a Cold Room Hyperthermia Secondary to Rapid Diuresis in Cardiac Failure; the Perils of Rapid Fluid Shifts

A 66-year-old man was admitted with anasarca and congestive cardiac failure. He was started on intravenous diuretics and fluid restriction and lost nearly 35 kg of fluids in 13 days. He then developed hyperthermia and delirium. An extensive workup was inconclusive. Analysis of his inpatient fluid ba...

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Autores principales: Maramattom, Boby Varkey, Joseph, Surya, Bhattacharjee, Siddharth, Kumar, Anil, Sreekumar, Praveen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6108293/
https://www.ncbi.nlm.nih.gov/pubmed/30186013
http://dx.doi.org/10.4103/ijccm.IJCCM_179_18
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author Maramattom, Boby Varkey
Joseph, Surya
Bhattacharjee, Siddharth
Kumar, Anil
Sreekumar, Praveen
author_facet Maramattom, Boby Varkey
Joseph, Surya
Bhattacharjee, Siddharth
Kumar, Anil
Sreekumar, Praveen
author_sort Maramattom, Boby Varkey
collection PubMed
description A 66-year-old man was admitted with anasarca and congestive cardiac failure. He was started on intravenous diuretics and fluid restriction and lost nearly 35 kg of fluids in 13 days. He then developed hyperthermia and delirium. An extensive workup was inconclusive. Analysis of his inpatient fluid balance chart revealed the chance association of massive fluid loss and hyperthermia. Rapid diuresis-induced hyperthermia and volume contraction were considered, and his fluid balance was adjusted. Within 2 days, his temperature normalized and he regained consciousness. Hyperthermia and its causative mechanism are discussed in this article.
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spelling pubmed-61082932018-09-05 A Hot Body in a Cold Room Hyperthermia Secondary to Rapid Diuresis in Cardiac Failure; the Perils of Rapid Fluid Shifts Maramattom, Boby Varkey Joseph, Surya Bhattacharjee, Siddharth Kumar, Anil Sreekumar, Praveen Indian J Crit Care Med Case Report A 66-year-old man was admitted with anasarca and congestive cardiac failure. He was started on intravenous diuretics and fluid restriction and lost nearly 35 kg of fluids in 13 days. He then developed hyperthermia and delirium. An extensive workup was inconclusive. Analysis of his inpatient fluid balance chart revealed the chance association of massive fluid loss and hyperthermia. Rapid diuresis-induced hyperthermia and volume contraction were considered, and his fluid balance was adjusted. Within 2 days, his temperature normalized and he regained consciousness. Hyperthermia and its causative mechanism are discussed in this article. Medknow Publications & Media Pvt Ltd 2018-08 /pmc/articles/PMC6108293/ /pubmed/30186013 http://dx.doi.org/10.4103/ijccm.IJCCM_179_18 Text en Copyright: © 2018 Indian Journal of Critical Care Medicine http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Maramattom, Boby Varkey
Joseph, Surya
Bhattacharjee, Siddharth
Kumar, Anil
Sreekumar, Praveen
A Hot Body in a Cold Room Hyperthermia Secondary to Rapid Diuresis in Cardiac Failure; the Perils of Rapid Fluid Shifts
title A Hot Body in a Cold Room Hyperthermia Secondary to Rapid Diuresis in Cardiac Failure; the Perils of Rapid Fluid Shifts
title_full A Hot Body in a Cold Room Hyperthermia Secondary to Rapid Diuresis in Cardiac Failure; the Perils of Rapid Fluid Shifts
title_fullStr A Hot Body in a Cold Room Hyperthermia Secondary to Rapid Diuresis in Cardiac Failure; the Perils of Rapid Fluid Shifts
title_full_unstemmed A Hot Body in a Cold Room Hyperthermia Secondary to Rapid Diuresis in Cardiac Failure; the Perils of Rapid Fluid Shifts
title_short A Hot Body in a Cold Room Hyperthermia Secondary to Rapid Diuresis in Cardiac Failure; the Perils of Rapid Fluid Shifts
title_sort hot body in a cold room hyperthermia secondary to rapid diuresis in cardiac failure; the perils of rapid fluid shifts
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6108293/
https://www.ncbi.nlm.nih.gov/pubmed/30186013
http://dx.doi.org/10.4103/ijccm.IJCCM_179_18
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