We observed a 51-year-old woman who was admitted for severe amitriptyline overdose. Besides major cardiovascular complications, the patient developed severe hyperpyrexia with a central body temperature of more than 43 degrees C for 5 h. The patient died on day 3 from cardiocirculatory collapse and arrhythmias. Hyperthermia was unresponsive to cooling with ice water, gastric lavage, muscle relaxation, and dantrolene and bromocriptine administration. The possible mechanisms of refractory hyperthermia are discussed.
机构:
Univ Tehran Med Sci, Dept Forens Med & Toxicol, Sch Med Pardis Hemmat, Tehran 1445613131, IranUniv Tehran Med Sci, Dept Forens Med & Toxicol, Sch Med Pardis Hemmat, Tehran 1445613131, Iran
Zamani, Nasim
Mostafazadeh, Babak
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Shaheed Beheshti Univ Med Sci, Dept Med Toxicol & Forens Med, Loghman Hakim Poison Hosp, Tehran, IranUniv Tehran Med Sci, Dept Forens Med & Toxicol, Sch Med Pardis Hemmat, Tehran 1445613131, Iran
机构:
Univ Tehran Med Sci, Dept Forens Med & Toxicol, Sch Med Pardis Hemmat, Tehran 1445613131, IranUniv Tehran Med Sci, Dept Forens Med & Toxicol, Sch Med Pardis Hemmat, Tehran 1445613131, Iran
Zamani, Nasim
Mostafazadeh, Babak
论文数: 0引用数: 0
h-index: 0
机构:
Shaheed Beheshti Univ Med Sci, Dept Med Toxicol & Forens Med, Loghman Hakim Poison Hosp, Tehran, IranUniv Tehran Med Sci, Dept Forens Med & Toxicol, Sch Med Pardis Hemmat, Tehran 1445613131, Iran