| Home | E-Submission | Sitemap | Contact us |  
Korean J Crit Care Med > Volume 27(2); 2012 > Article
Korean Journal of Critical Care Medicine 2012;27(2): 130-133. doi: https://doi.org/10.4266/kjccm.2012.27.2.130
급성 간부전을 동반한 운동 유발성 열사병의 혈장교환술 치료 1예
한영주ㆍ최재욱ㆍ정우진ㆍ서동인ㆍ박준동
A Case of Exertional Heat Stroke with Acute Hepatic Failure Treated with Plasma Exchange: A Case Report
Young Joo Han, Jae Wook Choi, Woo Jin Chung, Dong In Suh, June Dong Park
Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea. jdparkmd@snu.ac.kr
ABSTRACT
Heat stroke is a hyperthermia-induced systemic inflammatory response which may cause multiorgan dysfunction syndrome. We report a case of exertional heat stroke with acute hepatic failure in an 11-year-old boy. He initially presented hyperthermia and unconsciousness, which occurred after heavy exercise. His neurological state improved after terminating the hyperthermia by intensive cooling therapy. However, 24 hours after the initial recovery, his neurological state deteriorated again as acute hepatic injury progressed rapidly. We applied 4 times of total plasma exchange as an immunotherapy for systemic inflammatory response syndrome and acute hepatic failure expecting it to remove endogenous inflammatory factors and hepatotoxic cytokines. Following the plasma exchange, his mental state became normal and serial laboratory findings indicated improvement. He made a complete recovery without sequelae. We experienced successful treatment regarding exertional heat stroke with acute hepatic failure using plasma exchange.
Key Words: acute hepatic failure; exertional heat stroke; immunotherapy; plasma exchange; systemic inflammatory response syndrome
Editorial Office
#805-806, Yongseong Biztel, 109 Hangang-daero, Yongsan-gu, Seoul 04376, Korea
TEL: +82-2-2077-1533   FAX: +82-2-2077-1535   E-mail: acc@accjournal.org
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © The Korean Society of Critical Care Medicine.                 Developed in M2PI
Close layer
prev next