Malignant Syndrome in Parkinson Disease Similar to Severe Infection
A 70-year-old woman with Parkinson disease was admitted to the emergency department with altered consciousness, fever and convulsive movements without experiencing withdrawal from antiparkinsonian medication. Six hours after the emergency department visit, the patient had a hyperpyrexia (> 40°C)...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Critical Care Medicine
2017-11-01
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| Series: | Korean Journal of Critical Care Medicine |
| Subjects: | |
| Online Access: | http://www.kjccm.org/upload/pdf/kjccm-2016-00087.pdf |
| _version_ | 1818112456501755904 |
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| author | Dong Hun Lee Jeong Mi Moon Yong Soo Cho |
| author_facet | Dong Hun Lee Jeong Mi Moon Yong Soo Cho |
| author_sort | Dong Hun Lee |
| collection | DOAJ |
| description | A 70-year-old woman with Parkinson disease was admitted to the emergency department with altered consciousness, fever and convulsive movements without experiencing withdrawal from antiparkinsonian medication. Six hours after the emergency department visit, the patient had a hyperpyrexia (> 40°C) and a systolic blood pressure of 40 mmHg. There was no evidence of bacterial infection based on extensive workups. The patient was discharged without aggravation of Parkinson disease symptoms after treatment that included administration of dantrolene sodium, enforcement of continuous renal replacement therapy and cooling blankets. Malignant syndrome should be suspected if high fever occurs in Parkinson disease patients without evidence of a definitive infection. |
| first_indexed | 2024-12-11T03:19:14Z |
| format | Article |
| id | doaj.art-61cf509b8da14c5a846cafe78d499709 |
| institution | Directory Open Access Journal |
| issn | 2383-4870 2383-4889 |
| language | English |
| last_indexed | 2024-12-11T03:19:14Z |
| publishDate | 2017-11-01 |
| publisher | Korean Society of Critical Care Medicine |
| record_format | Article |
| series | Korean Journal of Critical Care Medicine |
| spelling | doaj.art-61cf509b8da14c5a846cafe78d4997092022-12-22T01:22:40ZengKorean Society of Critical Care MedicineKorean Journal of Critical Care Medicine2383-48702383-48892017-11-0132435936210.4266/kjccm.2016.000871068Malignant Syndrome in Parkinson Disease Similar to Severe InfectionDong Hun LeeJeong Mi MoonYong Soo ChoA 70-year-old woman with Parkinson disease was admitted to the emergency department with altered consciousness, fever and convulsive movements without experiencing withdrawal from antiparkinsonian medication. Six hours after the emergency department visit, the patient had a hyperpyrexia (> 40°C) and a systolic blood pressure of 40 mmHg. There was no evidence of bacterial infection based on extensive workups. The patient was discharged without aggravation of Parkinson disease symptoms after treatment that included administration of dantrolene sodium, enforcement of continuous renal replacement therapy and cooling blankets. Malignant syndrome should be suspected if high fever occurs in Parkinson disease patients without evidence of a definitive infection.http://www.kjccm.org/upload/pdf/kjccm-2016-00087.pdfdehydrationfevermalignant syndromeparkinson disease |
| spellingShingle | Dong Hun Lee Jeong Mi Moon Yong Soo Cho Malignant Syndrome in Parkinson Disease Similar to Severe Infection Korean Journal of Critical Care Medicine dehydration fever malignant syndrome parkinson disease |
| title | Malignant Syndrome in Parkinson Disease Similar to Severe Infection |
| title_full | Malignant Syndrome in Parkinson Disease Similar to Severe Infection |
| title_fullStr | Malignant Syndrome in Parkinson Disease Similar to Severe Infection |
| title_full_unstemmed | Malignant Syndrome in Parkinson Disease Similar to Severe Infection |
| title_short | Malignant Syndrome in Parkinson Disease Similar to Severe Infection |
| title_sort | malignant syndrome in parkinson disease similar to severe infection |
| topic | dehydration fever malignant syndrome parkinson disease |
| url | http://www.kjccm.org/upload/pdf/kjccm-2016-00087.pdf |
| work_keys_str_mv | AT donghunlee malignantsyndromeinparkinsondiseasesimilartosevereinfection AT jeongmimoon malignantsyndromeinparkinsondiseasesimilartosevereinfection AT yongsoocho malignantsyndromeinparkinsondiseasesimilartosevereinfection |