Title |
Effectively managing intractable central hyperthermia in a stroke patient by bromocriptine: a case report
|
---|---|
Published in |
Neuropsychiatric Disease and Treatment, May 2013
|
DOI | 10.2147/ndt.s44547 |
Pubmed ID | |
Authors |
Kuo-Wei Yu, Yu-Hui Huang, Chien-Lin Lin, Chang-Zern Hong, Li-Wei Chou |
Abstract |
Central hyperthermia is characterized by a rapid onset, high temperature, marked temperature fluctuation, and poor response to antipyretics and antibiotics. Although poststroke central hyperthermia is common, prolonged instances are rare. We report a case of prolonged central fever after an intracranial hemorrhage. Before the accurate diagnosis and management of central fever, the patient underwent long-term antibiotic use that led to pseudomembranous colitis. Bromocriptine was used to treat the prolonged central hyperthermia, after which the fever did not exceed 39°C. A week later, the body temperature baseline was reduced to 37°C and a low-grade fever with minor temperature fluctuation occurred only a few times. No fever occurred in the month following the treatment. After the fever subsided, the patient could undergo an aggressive rehabilitation program. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Taiwan | 1 | 2% |
Unknown | 41 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 6 | 14% |
Student > Doctoral Student | 6 | 14% |
Student > Bachelor | 6 | 14% |
Student > Master | 5 | 12% |
Student > Postgraduate | 4 | 10% |
Other | 4 | 10% |
Unknown | 11 | 26% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 21 | 50% |
Neuroscience | 3 | 7% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 2% |
Physics and Astronomy | 1 | 2% |
Nursing and Health Professions | 1 | 2% |
Other | 2 | 5% |
Unknown | 13 | 31% |