Erarslan E, Yüksel I, Haznedaroglu S

Language: English
References: 42
Page: 138-142
PDF size: 72.46 Kb.

ABSTRACT

Acute liver failure is defined as rapid loss of liver function that patients without previously recognized liver disease sustain a liver damage. Acute liver failure due to non-exertional heatstroke has rarely been reported. We reported here an unusual case of heat stroke induced acute liver failure (ALF) after sauna. A 63 year old man without previously recognized liver and other systemic disease was admitted for loss of consciousness and impaired liver function after sauna. Despite intensive supportive care, ALF developed. Liver transplantation was planned but the patient died on the sixth day of hospitalization. Non-exertional heatstroke induced ALF is a rare and serious condition. ALF caused by non-exertional heatstroke which requires liver transplantation for definitive solution should be kept in mind in early period.

REFERENCES

1. Torres DM, Stevens RD, Gurakar A. Acute liver failure: A management challenge for the practicing gastroenterologist. Gastroenterol & Hepatol 2010; 6: 444-50.

2. Trey C, Davidson C. The management of fulminant hepatic failure. Prog Liver Dis 1970; 282-98.

3. Stravitz RT, Kramer DJ. Management of acute liver failure. Nat Rev Gastroenterol Hepatol 2009; 6: 542-53.

4. Stravitz RT. Critical management decisions in patients with acute liver failure. Chest 2008; 134: 1092-102.

5. Wagnera M, Kaufmanna P, Fickerta P, et al. Successful conservative management of acute hepatic failure following exertional heatstroke. Eur J Gastroenterol Hepatol 2003; 15: 1135-9.

6. Bouchama A, Knochel JP. Heat stroke. N Engl J Med 2002; 346: 1978-88.

7. Dematte JE, O’Mara K, Buescher J, et al. Near-fatal heat stroke during the 1995 heat wave in Chicago. Ann Intern Med 1998; 129: 173-81.

8. Weigand K, Riediger C, Stremmel W, et al. Are heat stroke and physical exhaustion underestimated causes of acute hepatic failure? World J Gastroenterol 2007; 13(2): 306-9.

9. Feller RB, Wilson JS. Hepatic failure in fatal exertional heatstroke. Aust N Z J Med 1994; 24: 69.

10. Ichai C, Ciais JF, Hyvernat H, et al. Fatal acute liver failure: A rare complication of exertion-induced heat stroke. Ann Fr Anesth Reanim 1997; 16: 64-7.

11. Berger J, Hart J, Millis M, et al. Fulminant hepatic failure from heat stroke requiring liver transplantation. J Clin Gastroenterol 2000; 30: 429-31.

12. Wakino S, Hori S, Mimura T, et al. Heat stroke with multiple organ failure treated with cold hemodialysis and cold continuous hemodiafiltration: A case report. Ther Apher Dial 2005; 9: 423-8.

13. Lew HL, Lee EH, Date ES, et al. Rehabilitation of a patient with heat stroke: A case report. Am J Phys Med Rehabil 2002; 81: 629-32.

14. Howe AS, Boden BP. Heat-related illness in athletes. Am J Sports Med 2007; 35: 1384-95.

15. DeMatte JE, O’Mara K, Buescher J, et al. Near-fatal heat stroke during the 1995 heat wave in Chicago. Ann Intern Med 1998; 129: 173-81.

16. Yaqub B, Al Deeb S. Heat strokes: Aetiopathogenesis, neurological characteristics, treatment and outcome. J Neurol Sci 1998; 156: 144-51.

17. Trey C, Davidson C. The management of fulminant hepatic failure. Prog Liver Dis 1970; 282-98.

18. O’Grady JG, Schalm SW, Williams R. Acute liver failure: Redefining the syndromes. Lancet 1993; 342: 273-5.

19. Schiodt FV, Lee WM. Fulminant liver disease. Clin Liver Dis 2003; 7: 331-49.

20. Lim CL, Mackinnon LT. The roles of exercise-induced immune system disturbances in the pathology of heat stroke: the dual pathway model of heat stroke. Sports Med 2006; 36: 39-64.

21. Lu KC, Wang JY, Lin SH, et al. Role of circulating cytokines and chemokines in exertional heatstroke. Crit Care Med 2004; 32: 399-403.

22. Grogan H, Hopkins PM. Heat stroke: implications for critical care and anaesthesia. Br J Anaesth 2002; 88: 700-7.

23. Irie H, Mori W. Fatal hepatic necrosis after shock. Acta Pathol Jpn 1986; 36: 363-74.

24. Scobie BA. Gastrointestinal emergencies with marathon-type running: omental infarction with pancreatitis and liver failure with portal vein thrombosis. N Z Med J 1998; 111: 211-2.

25. Hassanein T, Razack A, Gavaler JS, et al. Heatstroke: its clinical and pathological presentation, with particular attention to the liver (Review). Am J Gastroenterol 1992; 87: 1382-9.

26. Scheuer PJ. Vascular disorders. In: Scheuer PJ, Lefkowitch JH (ed.). Liver biopsy interpretation. 6th. Ed. London: WB Saunders; 2000, p. 228-42.

27. Rubel LR, Ishak KG. The liver in fatal exertional heatstroke. Liver 1983; 3: 249-60.

28. Bowers WD Jr., Hubbard RW, Leav I, et al. Alterations of rat liver subsequent to heat overload. Arch Pathol Lab Med 1978; 102: 154-7.

29. Giercksky T, Boberg KM, Farstad IN, et al. Severe liver failure in exertional heat stroke. Scand J Gastroenterol 1999; 34: 824-7.

30. Kim-Seung Y, Sung AS, Ko Jee G, et al. The a case of multiple organ failure due to heat stoke following a warm bath. Korean J Internal Med 2006; 21: 210-2.

31. Argaud L, Ferry T, Le QH, et al. Short- and long-term outcomes of heatstroke following the 2003 heat wave in Lyon, France. Arch Intern Med 2007; 12 (167): 2177-83.

32. Knochel JP, Reed G. Disorders of heat regulation. In: Narins RG (ed.). Maxwell and Kleemans clinical disorders of fluid and electrolyte metabolism. New York: McGraw-Hill; 1994, p. 1549-90.

33. Takahashi KI, Chin K, Ogawa K, et al. Living donor liver transplantation with noninvasive ventilation for exertional heatstroke and severe rhabdomyolysis. Liver Transplant 2005; 11: 570-2.

34. Varghese GM, John G, Thomas K, et al. Predictors of multiorgan dysfunction in heatstroke. Emerg Med J 2005; 22: 185-7.

35. Lee C.W, Perng CL, Huang YS, et al. Multiple organ failure caused by non-exertional heat stroke after bathing in a hot spring. J Chin Med Assoc 2010; 73: 212-5.

36. Biais M, Nouette-Gaulain K, Lelias A, et al. Heat stroke and fulminans hepatitis: is MARS system relevant? Ann Fr Anesth Reanim 2005; 24: 1393-6.

37. Schött U, Henriksson BA, Hansson P. Exertional heat stroke caused severe hepatic and renal failure. Liver dialysis by means of MARS tested for the first time in this setting. Lakartidningen 2006; 103: 2050-3.

38. Broessner G, Beer R, Franz G, et al. Case report: severe heat stroke with multiple organ dysfunction-a novel intravascular treatment approach. Critical Care 2005; 9: R498-R501.

39. Niu KC, Chang CK, Lin MT, et al. A hyperbaric oxygen therapy approach to heat stroke with multiple organ dysfunction. Chin J Physiol 2009; 30; 52: 169-72.

40. Niu KC, Lin MT, Chang CP. Hyperbaric oxygen improves survival in heatstroke rats by reducing multiorgan dysfunction and brain oxidative stress. Eur J Pharmacol 2007; 13: 569: 94-102.

41. Yeh CH, Chen ZC, Hsu CC, et al. Protection in rats with heatstroke: hyperbaric oxygen vs. activated protein C therapy. Eur J Pharmacol 2010; 10(635): 103-8.

42. Liu CC, Cheng BC, Lin MT, et al. Small volume resuscitation in a rat model of heatstroke. Am J Med Sci 2009; 337: 79-87.