Functional hyperthermia caused by obstructive sleep apnea syndrome: A case report

A 47-year-old farm worker with diabetes mellitus, dyslipidemia, and hyperuricemia was referred to our hospital for a 3-month history of fever and malaise. He had no respiratory tract or abdominal symptoms, skin rashes, or joint pain. There was no change to his regular medication or pesticide exposur...

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Main Authors: Hiroki Maita, Tadashi Kobayashi, Takashi Akimoto, Hiroshi Osawa, Hiroyuki Kato
Format: Article
Language:English
Published: SAGE Publishing 2022-09-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X221123308
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author Hiroki Maita
Tadashi Kobayashi
Takashi Akimoto
Hiroshi Osawa
Hiroyuki Kato
author_facet Hiroki Maita
Tadashi Kobayashi
Takashi Akimoto
Hiroshi Osawa
Hiroyuki Kato
author_sort Hiroki Maita
collection DOAJ
description A 47-year-old farm worker with diabetes mellitus, dyslipidemia, and hyperuricemia was referred to our hospital for a 3-month history of fever and malaise. He had no respiratory tract or abdominal symptoms, skin rashes, or joint pain. There was no change to his regular medication or pesticide exposure. Blood tests and echocardiography revealed no abnormalities. Whole-body computed tomography revealed a fatty liver; however, non-alcoholic steatohepatitis was excluded. We diagnosed the patient with functional hyperthermia. He had a history of snoring and weight gain, and we suspected the obstructive sleep apnea syndrome to be a stressor. Polysomnography revealed severe obstructive sleep apnea syndrome with an apnea–hypopnea index of 44.5. Continuous positive airway pressure was introduced; the axillary temperature decreased gradually and malaise was resolved. Functional hyperthermia should be considered a cause of fever with a negative inflammatory response. Obstructive sleep apnea syndrome can be a stressor for functional hyperthermia, which can be improved by interventions.
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spelling doaj.art-d3bacc15407d405589b25ef25000029d2022-12-22T04:04:21ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2022-09-011010.1177/2050313X221123308Functional hyperthermia caused by obstructive sleep apnea syndrome: A case reportHiroki Maita0Tadashi Kobayashi1Takashi Akimoto2Hiroshi Osawa3Hiroyuki Kato4Development of Community Healthcare, Hirosaki University Graduate School of Medicine, Aomori, JapanDepartment of General Medicine, Hirosaki University School of Medicine and Hospital, Aomori, JapanDepartment of General Medicine, Hirosaki University School of Medicine and Hospital, Aomori, JapanDepartment of General Medicine, Hirosaki University School of Medicine and Hospital, Aomori, JapanGeneral Medicine, Hirosaki University Graduate School of Medicine, Aomori, JapanA 47-year-old farm worker with diabetes mellitus, dyslipidemia, and hyperuricemia was referred to our hospital for a 3-month history of fever and malaise. He had no respiratory tract or abdominal symptoms, skin rashes, or joint pain. There was no change to his regular medication or pesticide exposure. Blood tests and echocardiography revealed no abnormalities. Whole-body computed tomography revealed a fatty liver; however, non-alcoholic steatohepatitis was excluded. We diagnosed the patient with functional hyperthermia. He had a history of snoring and weight gain, and we suspected the obstructive sleep apnea syndrome to be a stressor. Polysomnography revealed severe obstructive sleep apnea syndrome with an apnea–hypopnea index of 44.5. Continuous positive airway pressure was introduced; the axillary temperature decreased gradually and malaise was resolved. Functional hyperthermia should be considered a cause of fever with a negative inflammatory response. Obstructive sleep apnea syndrome can be a stressor for functional hyperthermia, which can be improved by interventions.https://doi.org/10.1177/2050313X221123308
spellingShingle Hiroki Maita
Tadashi Kobayashi
Takashi Akimoto
Hiroshi Osawa
Hiroyuki Kato
Functional hyperthermia caused by obstructive sleep apnea syndrome: A case report
SAGE Open Medical Case Reports
title Functional hyperthermia caused by obstructive sleep apnea syndrome: A case report
title_full Functional hyperthermia caused by obstructive sleep apnea syndrome: A case report
title_fullStr Functional hyperthermia caused by obstructive sleep apnea syndrome: A case report
title_full_unstemmed Functional hyperthermia caused by obstructive sleep apnea syndrome: A case report
title_short Functional hyperthermia caused by obstructive sleep apnea syndrome: A case report
title_sort functional hyperthermia caused by obstructive sleep apnea syndrome a case report
url https://doi.org/10.1177/2050313X221123308
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