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Elderly‐onset acute necrotizing encephalopathy mimicking severe heat stroke: a case report and review of the literature
BACKGROUND: Acute necrotizing encephalopathy (ANE), known as influenza‐associated encephalitis, typically affects children. CASE PRESENTATION: A 70‐year‐old woman was admitted to the hospital with altered consciousness, a high temperature, and severe hypotension. Computed tomography (CT) of the head...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6603324/ https://www.ncbi.nlm.nih.gov/pubmed/31304037 http://dx.doi.org/10.1002/ams2.418 |
Sumario: | BACKGROUND: Acute necrotizing encephalopathy (ANE), known as influenza‐associated encephalitis, typically affects children. CASE PRESENTATION: A 70‐year‐old woman was admitted to the hospital with altered consciousness, a high temperature, and severe hypotension. Computed tomography (CT) of the head showed no abnormalities; thus, a diagnosis of suspected severe heat stroke was made. On day 2, repeated head CT revealed bilateral symmetrical lesions to the thalamus, and a rapid influenza antigen test was positive. Based on the CT findings and the medical history of influenza, a differential diagnosis of ANE was made. Subsequently, brain edema spread across the whole brain, and the patient died on day 21. CONCLUSION: In elderly patients, differentiating ANE from severe heat stroke in a high‐temperature environment is difficult because of the similarities in clinical symptoms due to multiple organ failure. |
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