Tomoda Yoshitaka, Kagawa Satoshi, Kurata Satoshi, Tanaka Kazutoyo
Department of General Medicine Saiseikai Fukuoka General Hospital Fukuoka Japan.
J Gen Fam Med. 2019 Jan 9;20(3):111-113. doi: 10.1002/jgf2.234. eCollection 2019 May.
An 80-year-old male with past history of cervical spinal cord injury visited our hospital owing to perforation in the digestive tract. Upon admission to the general ward, he presented with a sustained fever that was unresponsive to acetaminophen and antibiotics. Based on the dry skin and underlying disease, he was diagnosed with hyperthermia due to heat retention. After controlling the room temperature to cool his body and performing evaporative and convective cooling, his symptoms completely resolved. This case highlights that primary physicians should be aware of thermoregulatory dysfunction in patients with cervical spinal cord injury.
一名有颈髓损伤病史的80岁男性因消化道穿孔入住我院。入住普通病房后，他持续发热，对乙酰氨基酚和抗生素治疗无效。基于皮肤干燥和基础疾病，他被诊断为蓄热型高热。在控制室温以降低体温并进行蒸发和对流降温后，他的症状完全缓解。该病例强调，基层医生应意识到颈髓损伤患者的体温调节功能障碍。
