Lélis M, do Carmo G, Caldeira L, Abreu J, Freitas L, Doroana M
Serviço de Doenças Infecto-Contagiosas, Hospital de Santa Maria, Lisboa.
Acta Med Port. 1992 Apr;5(4):215-8.
A clinical case that occurred in a 42 years old female and which fulfils the diagnostic criteria for the entity described as Heat Stroke is presented. In this case, besides the usual manifestations of hyperpyrexia without sweating along with consciousness disorders, features of consumptive coagulopathy, rhabdomyolysis and well marked laboratory liver dysfunction have also been found. The severity of this situation and its less common occurrence in temperate climates, together with the uncertainty in establishing the diagnosis, namely when infection is suspected--in the present case the initial diagnosis was Sepsis, which led to patient's admission in an infectious diseases intensive care unit--motivate the authors to make this report. Furthermore, they consider this case to be a good example of the varied clinical and laboratory manifestations and possible severe complications that Heat Stroke may display.
本文介绍了一例发生在42岁女性身上的临床病例，该病例符合热射病的诊断标准。在此病例中，除了高热无汗及意识障碍等常见表现外，还发现了消耗性凝血病、横纹肌溶解及明显的实验室检查提示的肝功能障碍等特征。这种情况的严重性、在温带气候中较少见以及诊断的不确定性，即在怀疑感染时——本病例最初诊断为脓毒症，导致患者入住传染病重症监护病房——促使作者撰写此报告。此外，他们认为该病例是热射病可能表现出的多样临床和实验室表现以及可能的严重并发症的一个很好的例子。
