Heat stroke natural history, complications and prognosis: Difference between revisions
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==Complications== | ==Complications== | ||
The complications of heat stroke include:<ref name="pmid27840645">{{cite journal| author=Masood U, Sharma A, Syed W, Manocha D| title=Bowel Ischemia from Heat Stroke: A Rare Presentation of an Uncommon Complication. | journal=Case Rep Med | year= 2016 | volume= 2016 | issue= | pages= 5217690 | pmid=27840645 | doi=10.1155/2016/5217690 | pmc=5093235 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27840645 }} </ref><ref name="pmid7865679">{{cite journal| author=al-Mashhadani SA, Gader AG, al Harthi SS, Kangav D, Shaheen FA, Bogus F| title=The coagulopathy of heat stroke: alterations in coagulation and fibrinolysis in heat stroke patients during the pilgrimage (Haj) to Makkah. | journal=Blood Coagul Fibrinolysis | year= 1994 | volume= 5 | issue= 5 | pages= 731-6 | pmid=7865679 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7865679 }} </ref> | |||
===Life Threatening complications=== | |||
*Syndrome of multiorgan dysfunction | |||
===Common Complications=== | |||
*Encephalopathy | |||
*Acute respiratory distress syndrome | |||
*Hepatocellular damage | |||
*Rhabdomyolysis | |||
*Pancreatic injury | |||
*Acute renal failure | |||
*Myocardial injury | |||
*Hemorrhagic | |||
**Disseminated intravascular coagulation ([[DIC]]) | |||
**Thrombocytopenia | |||
===Rare Complications=== | |||
The rare complications include:<ref name="pmid27840645">{{cite journal| author=Masood U, Sharma A, Syed W, Manocha D| title=Bowel Ischemia from Heat Stroke: A Rare Presentation of an Uncommon Complication. | journal=Case Rep Med | year= 2016 | volume= 2016 | issue= | pages= 5217690 | pmid=27840645 | doi=10.1155/2016/5217690 | pmc=5093235 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27840645 }} </ref><ref name="pmid7865679">{{cite journal| author=al-Mashhadani SA, Gader AG, al Harthi SS, Kangav D, Shaheen FA, Bogus F| title=The coagulopathy of heat stroke: alterations in coagulation and fibrinolysis in heat stroke patients during the pilgrimage (Haj) to Makkah. | journal=Blood Coagul Fibrinolysis | year= 1994 | volume= 5 | issue= 5 | pages= 731-6 | pmid=7865679 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7865679 }} </ref> | |||
*Bowel ischemia or infarction | |||
==Prognosis== | ==Prognosis== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Natural History
Complications
The complications of heat stroke include:[1][2]
Life Threatening complications
- Syndrome of multiorgan dysfunction
Common Complications
- Encephalopathy
- Acute respiratory distress syndrome
- Hepatocellular damage
- Rhabdomyolysis
- Pancreatic injury
- Acute renal failure
- Myocardial injury
- Hemorrhagic
- Disseminated intravascular coagulation (DIC)
- Thrombocytopenia
Rare Complications
The rare complications include:[1][2]
- Bowel ischemia or infarction
Prognosis
The revival of the functioning of the central nervous system is a positive prognostic sign. It is usually seen following aggressive therapy. 20% patients face residual damage of the brain and a higher mortality is associated with this.[3][4]
References
- ↑ 1.0 1.1 Masood U, Sharma A, Syed W, Manocha D (2016). "Bowel Ischemia from Heat Stroke: A Rare Presentation of an Uncommon Complication". Case Rep Med. 2016: 5217690. doi:10.1155/2016/5217690. PMC 5093235. PMID 27840645.
- ↑ 2.0 2.1 al-Mashhadani SA, Gader AG, al Harthi SS, Kangav D, Shaheen FA, Bogus F (1994). "The coagulopathy of heat stroke: alterations in coagulation and fibrinolysis in heat stroke patients during the pilgrimage (Haj) to Makkah". Blood Coagul Fibrinolysis. 5 (5): 731–6. PMID 7865679.
- ↑ Hart GR, Anderson RJ, Crumpler CP, Shulkin A, Reed G, Knochel JP (1982). "Epidemic classical heat stroke: clinical characteristics and course of 28 patients". Medicine (Baltimore). 61 (3): 189–97. PMID 7078400.
- ↑ Dematte JE, O'Mara K, Buescher J, Whitney CG, Forsythe S, McNamee T; et al. (1998). "Near-fatal heat stroke during the 1995 heat wave in Chicago". Ann Intern Med. 129 (3): 173–81. PMID 9696724.