Schussler Jeffrey M, Tomson Cerin, Dresselhouse Mark P
Cardiology, Baylor University Medical Center, Dallas, USA.
Cardiology, Baylor Scott & White Heart and Vascular Hospital, Dallas, USA.
Cureus. 2023 Mar 13;15(3):e36101. doi: 10.7759/cureus.36101. eCollection 2023 Mar.
We present a case report of a 37-year-old male who presented to the emergency department with altered mental status and electrocardiographic changes suggestive of an ST-elevation myocardial infarction (STEMI). He was ultimately diagnosed with extreme hyperthermia, secondary to drug use, which was managed promptly with supportive measures resulting in a successful outcome. This case highlights the importance of considering drug-induced hyperthermia as a potential cause of altered mental status and EKG changes in patients, especially in those with a history of drug abuse.
我们报告一例37岁男性病例,该患者因精神状态改变和心电图变化提示ST段抬高型心肌梗死(STEMI)而就诊于急诊科。他最终被诊断为继发于药物使用的极度高热,通过及时采取支持性措施进行治疗,取得了成功的结果。该病例强调了在患者中,尤其是有药物滥用史的患者中,将药物性高热视为精神状态改变和心电图变化潜在原因的重要性。