A Case of Exertional Heat Stroke with Acute Hepatic Failure Treated with Plasma Exchange - A Case Report -

2012 ◽  
Vol 27 (2) ◽  
pp. 130 ◽  
Author(s):  
Young Joo Han ◽  
Jae Wook Choi ◽  
Woo Jin Chung ◽  
Dong In Suh ◽  
June Dong Park
2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Qi Jin ◽  
Erzhen Chen ◽  
Jie Jiang ◽  
Yiming Lu

Background. Acute hepatic failure (AHF) is uncommon as a leading symptom in patients with exertional heat stroke (EHS). Which stage to perform the liver transplantation for severe hepatic failure in EHS is still obscure at clinical setting. The conservative management has been reported to be successful in treating heat-stroke-associated AHF even in the presence of accepted criteria for emergency liver transplantation.Case Presentation. Here, we reported a 35-year-old male who presented with very high transaminases, hyperbilirubinemia, significant prolongation of the prothrombin time, and coma. No other causes for AHF could be identified but physical exhaustion and hyperthermia. Although the current patient fulfilled London criteria for emergency liver transplantation, he spontaneously recovered under conservative treatment including intravenous fluids, cooling, diuretics as mannitol, and hepatocyte growth-promoting factors.Conclusions. Meticulous supportive management could be justified in some selected cases of AHF due to EHS.


2014 ◽  
Vol 29 (5) ◽  
pp. 281-283 ◽  
Author(s):  
Kuan-Jung Chen ◽  
Tso-Hsiao Chen ◽  
Yuh-Mou Sue ◽  
Tzay-Jinn Chen ◽  
Chung-Yi Cheng

2010 ◽  
Vol 3 (6) ◽  
pp. 327-331 ◽  
Author(s):  
Takayuki Fusasaki ◽  
Ryoichi Narita ◽  
Masaaki Hiura ◽  
Shintaro Abe ◽  
Akinari Tabaru ◽  
...  

2013 ◽  
Vol 28 (6) ◽  
pp. 971-974 ◽  
Author(s):  
Vimal Master Sankar Raj ◽  
Amanda Alladin ◽  
Brent Pfeiffer ◽  
Chryso Katsoufis ◽  
Marissa Defreitas ◽  
...  

2010 ◽  
Vol 7 (6) ◽  
pp. 373-376
Author(s):  
Pradipta Guha ◽  
Shivesh Shanker Sahai ◽  
Sekhar Mukherjee ◽  
Sanjoy Kumar Chatterjee

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