Farouji Iyad, Chan Kok Hoe, Abed Hossam, DaCosta Theodore, Vefali Baris, Rushdy Abanoub, Suleiman Addi, Slim Jihad
Department of Medical Education, New York Medical College, Saint Michael's Medical Center, Newark, NJ, USA.
School of Medicine, St. George's University, Grenada, West Indies.
SAGE Open Med Case Rep. 2021 Jun 14;9:2050313X211025441. doi: 10.1177/2050313X211025441. eCollection 2021.
Hypothermia defined as a core body temperature less than 35°C causes hundreds of deaths annually in the United States. It can occur in a variety of clinical settings, including environmental exposure, shock, infection, metabolic disorders, alcohol, or drug toxicity, and malnutrition. This condition can affect many different organ systems and may lead to serious complications including cardiac arrhythmia. Hypothermia is extremely rare in people living with HIV but can be seen in severely malnourished patients or those who are not receiving antiretroviral therapy (ART). It is a life-threatening situation that should be treated aggressively. To the best of our knowledge, there are only a few cases that have been reported for people living with HIV presenting with hypothermia and sinus bradycardia. Herein, we are reporting a very rare case of people living with AIDS who presented with hypothermia complicated by sinus bradycardia. In addition, we also performed a systematic review of cases based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline, to investigate the clinical characteristics and outcomes associated with this rare complication. This systematic review of cases hopefully can increase the awareness of this rare entity and help improve its outcome.
体温过低定义为核心体温低于35°C，在美国每年导致数百人死亡。它可发生于多种临床情况，包括环境暴露、休克、感染、代谢紊乱、酒精或药物中毒以及营养不良。这种情况可影响许多不同的器官系统，并可能导致严重并发症，包括心律失常。体温过低在艾滋病毒感染者中极为罕见，但在严重营养不良的患者或未接受抗逆转录病毒治疗（ART）的患者中可见。这是一种危及生命的情况，应积极治疗。据我们所知，仅有少数关于艾滋病毒感染者出现体温过低和窦性心动过缓的病例报告。在此，我们报告一例非常罕见的艾滋病患者出现体温过低并伴有窦性心动过缓的病例。此外，我们还根据系统评价和Meta分析的首选报告项目指南对病例进行了系统评价，以调查与这种罕见并发症相关的临床特征和结局。此次病例系统评价有望提高对这种罕见病症的认识，并有助于改善其结局。
