Summary
We present a clinical case of liver failure induced by heat stroke.
Keywords:
Hepatic Insufficiency; Heat Stroke; Fever
We present a clinical case of liver failure induced by heat stroke.
Keywords:
Hepatic Insufficiency; Heat Stroke; Fever
| Test | D1 | D2 | D3 | D9 |
|---|---|---|---|---|
| Hemoglobin (g/dL) | 11.9 | 13.2 | 12.8 | 11.8 |
| WBC count (n/mm3) | 11,000 | 9,600 | 7,800 | 8.9 |
| Platelet count (n/mm3) | 138,000 | 42,000 | 50,000 | 203,000 |
| Potassium (mEq/L) | 3.6 | 3.4 | 3.4 | 4.3 |
| Sodium (mEq/L) | 146 | 144 | 142 | 138 |
| Calcium (g/dL) | 9.0 | 8.5 | 8.7 | |
| Phosphorus (g/dL) | 2.2 | 4.3 | ||
| Urea (mg/dL) | 39 | 42 | 21 | 26 |
| Creatinine (mg/dL) | 1.7 | 1.6 | 1.3 | 1.1 |
| CPK (U/L) | 278 | 6,496 | 10,220 | 350 |
| Lactate (mmol/L) | 5.9 | 1.9 | 2.4 | 1.0 |
| Total bilirubin (mg/dL) | 2.5 | 1.9 | 1.0 | |
| Gamma-glutamyl transferase (U/L) | 139 | 135 | 113 | |
| Glutamic pyruvic transaminase (U/L) | 35 | 2,329 | 4,985 | 100 |
| Glutamic oxaloacetic transaminase (U/L) | 51 | 1,596 | 3,836 | 120 |
| Alkaline phosphatase (U/L) | 82 | 60 | ||
| Fibrinogen (U/L) | 212 | 1 | ||
| Activated partial thromboplastin time (%) | 59 | 18 | 11 | 89 |
| INR | 1.39 | 3.67 | 5.69 | 1.5 |
| D-dimer (ng/mL) | 7,972 | 8,801 | ||
| pH urine | 5.0 | 5.0 |
| Stage | Characteristics |
|---|---|
| Hyperthermic | Neurologic deficit and hyperthermia |
| Hematologic and enzymatic | Leukocytosis, coagulopathy, increased cellular enzymes |
| Renal and hepatic impairment | Acute kidney and liver failure |