Effectively managing intractable central hyperthermia in a stroke patient by bromocriptine: a case report

Kuo-Wei Yu,1,* Yu-Hui Huang,2,3 Chien-Lin Lin,1,4,* Chang-Zern Hong,5 Li-Wei Chou1,41Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan; 2School of Medicine, Chung Shan Medical University, Taichung, Taiwan; 3Department of Physical Medicine and Reh...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Yu KW, Huang YH, Lin CL, Hong CZ, Chou LW
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/f6b702cf0a344125a3ed3c737f80cda6
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:f6b702cf0a344125a3ed3c737f80cda6
record_format	dspace
spelling	oai:doaj.org-article:f6b702cf0a344125a3ed3c737f80cda62021-12-02T06:37:48ZEffectively managing intractable central hyperthermia in a stroke patient by bromocriptine: a case report1176-63281178-2021https://doaj.org/article/f6b702cf0a344125a3ed3c737f80cda62013-05-01T00:00:00Zhttp://www.dovepress.com/effectively-managing-intractable-central-hyperthermia-in-a-stroke-pati-a12936https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Kuo-Wei Yu,1,* Yu-Hui Huang,2,3 Chien-Lin Lin,1,4,* Chang-Zern Hong,5 Li-Wei Chou1,41Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan; 2School of Medicine, Chung Shan Medical University, Taichung, Taiwan; 3Department of Physical Medicine and Rehabilitation, Chung Shan Medical University Hospital, Taichung, Taiwan; 4School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; 5Department of Physical Therapy, Hungkuang University, Taichung, Taiwan*These authors contributed equally to this workAbstract: 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.Keywords: bromocriptine, central hyperthermia, fever, strokeYu KWHuang YHLin CLHong CZChou LWDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2013, Iss default, Pp 605-608 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Yu KW Huang YH Lin CL Hong CZ Chou LW Effectively managing intractable central hyperthermia in a stroke patient by bromocriptine: a case report
description	Kuo-Wei Yu,1,* Yu-Hui Huang,2,3 Chien-Lin Lin,1,4,* Chang-Zern Hong,5 Li-Wei Chou1,41Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan; 2School of Medicine, Chung Shan Medical University, Taichung, Taiwan; 3Department of Physical Medicine and Rehabilitation, Chung Shan Medical University Hospital, Taichung, Taiwan; 4School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; 5Department of Physical Therapy, Hungkuang University, Taichung, Taiwan*These authors contributed equally to this workAbstract: 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.Keywords: bromocriptine, central hyperthermia, fever, stroke
format	article
author	Yu KW Huang YH Lin CL Hong CZ Chou LW
author_facet	Yu KW Huang YH Lin CL Hong CZ Chou LW
author_sort	Yu KW
title	Effectively managing intractable central hyperthermia in a stroke patient by bromocriptine: a case report
title_short	Effectively managing intractable central hyperthermia in a stroke patient by bromocriptine: a case report
title_full	Effectively managing intractable central hyperthermia in a stroke patient by bromocriptine: a case report
title_fullStr	Effectively managing intractable central hyperthermia in a stroke patient by bromocriptine: a case report
title_full_unstemmed	Effectively managing intractable central hyperthermia in a stroke patient by bromocriptine: a case report
title_sort	effectively managing intractable central hyperthermia in a stroke patient by bromocriptine: a case report
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/f6b702cf0a344125a3ed3c737f80cda6
work_keys_str_mv	AT yukw effectivelymanagingintractablecentralhyperthermiainastrokepatientbybromocriptineacasereport AT huangyh effectivelymanagingintractablecentralhyperthermiainastrokepatientbybromocriptineacasereport AT lincl effectivelymanagingintractablecentralhyperthermiainastrokepatientbybromocriptineacasereport AT hongcz effectivelymanagingintractablecentralhyperthermiainastrokepatientbybromocriptineacasereport AT choulw effectivelymanagingintractablecentralhyperthermiainastrokepatientbybromocriptineacasereport
_version_	1718399849913647104

Effectively managing intractable central hyperthermia in a stroke patient by bromocriptine: a case report

Ejemplares similares