Noguchi I, Ohno H, Takano K, Shimada R, Sasao M, Shimonaka H. Fatal hyperthermia due to dental treatment.
ACTA ACUST UNITED AC 2006;
101:e61-4. [PMID:
16504853 DOI:
10.1016/j.tripleo.2005.07.001]
[Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2004] [Revised: 06/01/2005] [Accepted: 07/01/2005] [Indexed: 11/17/2022]
Abstract
A 12-year-old boy with mental retardation and cerebral palsy developed hyperthermia during dental treatment performed while he was conscious. During the treatment, he was highly excited, and shortly after completion of the procedure, general muscular spasms occurred. His axillary temperature was 41.6 degrees C then. He was transferred to another general hospital and there he was judged to have become afebrile and was discharged. His condition deteriorated during the night, and he was readmitted to the same hospital the following morning. The patient did not respond to the therapy and died from multiple organ failure on the 13th day. It was thought that hyperthermia had led to rhabdomyolysis and DIC. The cause of death is discussed. Hyperthermia in a handicapped patient is not always transient or benign, and can be life threatening.
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