Parkinsonism-hyperpyrexia syndrome (PHS) is a neurologic emergency associated with anti- Parkinson medication withdrawal; however, its clinical presentation mimics sepsis. [ncbi.nlm.nih.gov]

• Fever

  See also fever. hyperpyretic, adj. hy·per·py·rex·i·a ( hī'pĕr-pī-rek'sē-ă ) Extremely high fever. [ hyper- + G. pyrexis, feverishness] hyperpyrexia Body temperature above 41.1 C (106 F). [medical-dictionary.thefreedictionary.com]

  – Seen in malaria, Borrelia infections, rat-bite fever, and lymphoma (Pel Ebstein fevers) – Remittent fever: temperature falls daily but does not return to normal – Seen in TB and viral diseases – Intermittent fevers: exaggerated circadian rhythm – Seen [slideshare.net]

  There was no obvious reason for fever, and cytotoxic-induced fever was considered. The drugs were given one at a time. When a test dose (10 mg) of procarbazine was given, she developed a high fever with severe nausea and vomiting. [ncbi.nlm.nih.gov]

• Malaise

  […] zmogljivost, bolečine v prsih, gripi podobna bolezen, slabo počutje, letargija, hiperpireksija English Common: Peripheral oedema, mucosal inflammation, pain, rigors, oedema, weakness, decreased performance status, chest pain, influenza-like illness, malaise [mymemory.translated.net]

  Signs and Symptoms • Chills, shivering, and rigors – Mechanisms to raise body core temperature • Fatigue • Malaise • Myalgias • Night sweats • Anorexia 8. • Specific fever patterns – Relapsing fevers: febrile episode with alternating afebrile intervals [slideshare.net]

  ) · throat ( R07.0 ) · tongue ( K14.6 ) · tooth ( K08.8 ) renal colic ( N23 ) R52.0 Acute pain R52.1 Chronic intractable pain R52.2 Other chronic pain R52.9 Pain, unspecified Generalized pain NOS R53 Malaise and fatigue Asthenia NOS Debility: · NOS [apps.who.int]

• Pallor

  This may also include rapid breathing (tachypnea), pale clammy skin (pallor), rapid heart rate (tachycardia) and profuse sweating (diaphoresis). These symptoms are indicated with heat exhaustion. [overheating-heat-stroke.knoji.com]

  Signs of autonomic dysfunction include pallor, tachycardia, labile blood pressure, profuse diaphoresis, and urinary incontinence. Hyperthermia characteristically follows the occurrence of extrapyramidal rigidity. [medtextfree.wordpress.com]

• Failure to Thrive

  […] to: · gain weight · thrive Infantilism NOS Lack of growth Physical retardation Excludes: HIV disease resulting in failure to thrive ( B22.2 ) physical retardation due to malnutrition ( E45 ) R62.9 Lack of expected normal physiological development, unspecified [apps.who.int]

• Hypertension

  DBS for bilateral STN was performed uneventfully, but the patient was unconscious with fever, tachycardia, and hypertension after surgery. [ncbi.nlm.nih.gov]

  Less common symptoms, such as tachycardia, convulsions, vomiting, hypertension, hyperpyrexia and ataxia, have all been noted. [diki.pl]

  […] en These include paranoid psychosis, tachycardia, hypertension, diaphoresis, breathing problems, severe agitation, auditory and visual hallucinations, profound anxiety, hyperthermia, violent outbursts and multiple organ dysfunctions. sl Ne vem kakšno [sl.glosbe.com]

  Delivery Models Health Care Economics, Insurance, Payment Health Care Policy Health Care Quality Health Care Reform Health Care Safety Health Care Workforce Health Disparities Health Informatics Health Policy Hematology History of Medicine Humanities Hypertension [jamanetwork.com]

  5151 ～ 5200 番を表示 (全 8148 件) 英文 和文 略語 malignant hyperphenylalaninemia 悪性高フェニルアラニン血症 malignant hyperpyrexia 悪性超高熱症 malignant hypertension 悪性高血圧 malignant hyperthermia 悪性高熱/悪性高熱症 malignant lymphoma 悪性リンパ腫 malignant melanoma 悪性黒色腫 malignant neoplasm/malignant [jpeds.or.jp]

• Hypotension

  Autonomic dysfunction includes urinary retention, constipation, and orthostatic hypotension. All are treated with usual measures, but persistent or severe orthostatic hypotension may require further treatment with volume expanders or vasopressors. [emdocs.net]

  […] en Symptomatic hypotension Substantial decrease in blood pressure and hence symptomatic hypotension can occur in patients with volume and/or sodium depletion resulting from diuretic therapy, fluid loss of other origin such as excessive diaphoresis, prolonged [sl.glosbe.com]

  He had postural hypotension and nitrite positive urine dip. The labile blood pressure was attributed to his multiple anti-parkinsonian medications (4 mg ropinirole daily, 100/25 mg co-careldopa 5 times a day and 10 mg selagiline daily). [ejinme.com]

  Hyponatremia and other electrolyte disturbances are also quite common, as is hypotension, hyperpyrexia or, late in the disease, hypothermia. "It's called hyperpyrexia ," Laurie said, staring at Stuart Morgan. [diki.pl]

  […] postviral ( G93.3 ) R54 Senility Old age Senescence } } without mention of psychosis Senile: · asthenia · debility Excludes: senile psychosis ( F03 ) R55 Syncope and collapse Blackout Fainting Excludes: neurocirculatory asthenia ( F45.3 ) orthostatic hypotension [apps.who.int]

• Orthostatic Hypotension

  Autonomic dysfunction includes urinary retention, constipation, and orthostatic hypotension. All are treated with usual measures, but persistent or severe orthostatic hypotension may require further treatment with volume expanders or vasopressors. [emdocs.net]

  hypotension ( I95.1 ) neurogenic orthostatic hypotension ( G90.3 ) shock: · NOS ( R57.9 ) · cardiogenic ( R57.0 ) · complicating or following: · abortion or ectopic or molar pregnancy ( O00-O07, O08.3 ) · labour and delivery ( O75.1 ) · postoperative [apps.who.int]

• Restless Legs Syndrome

  leg syndrome, PD: Parkinson’s disease. [e-jmd.org]

• Hot, Dry Skin

  Typically, patients suffering from hyperthermia have hot, dry skin. Patients who have infection might be warm or moist or sweaty. [medscape.com]

  If the condition progresses to heat stroke, then hot, dry skin is typical[8] as blood vessels dilate in an attempt to increase heat loss. An inability to cool the body through perspiration may cause the skin to feel dry. [en.wikipedia.org]

• Visual Hallucination

  He was disoriented and responding to visual hallucinations. Investigations revealed an elevated creatine kinase and a provisional diagnosis of PHS was made. [ncbi.nlm.nih.gov]

  […] en These include paranoid psychosis, tachycardia, hypertension, diaphoresis, breathing problems, severe agitation, auditory and visual hallucinations, profound anxiety, hyperthermia, violent outbursts and multiple organ dysfunctions. sl Ne vem kakšno [sl.glosbe.com]

  Four days post admission the patient was found in a ‘confused, rigid and hallucinating’ state with a temperature of 40.2 °C. He had increased tremor and stiffness, profuse sweating, tachypnoea, tachycardia and visual hallucinations. [ejinme.com]

  Other signs of overdose may include: confusion, disturbed concentration, transient visual hallucinations, dilated pupils, agitation, hyperactive reflexes, stupor, drowsiness, muscle rigidity, vomiting, hypothermia, hyperpyrexia. [diki.pl]

  Family members brought the patient to the emergency department due to a 6-day history of fever (reaching 39°C), sleepiness, disorientation in time and space, visual hallucinations, increased limb rigidity, and increased tremor and bradykinesia, which [elsevier.es]

• Seizure

  […] a febrile seizure, the following recommendations are made for caregivers:[24] Note the start time of the seizure. [en.wikipedia.org]

  Eighteen patients (17.1%) also had seizures. Sensitive indicators to help distinguish those with serious illness, with the exception of clinical appearance, were not found. Pneumonia is commonly found in children with hyperpyrexia. [ncbi.nlm.nih.gov]

  Meperidine HCl (Demerol), an opioid, has been associated with hypertension, hyperpyrexia, skeletal muscle rigidity, seizures, and coma when used with MAOIs. [diki.pl]

• Confusion

  We observed a patient who, during the administration of intravenous cimetidine, became hyperpyretic and confused. Six hours after cimetidine therapy was discontinued, he became afebrile. [ncbi.nlm.nih.gov]

  Her mental status was alert without confusion at the time of arrival, but after several hours, her dyskinesia grew worse and she became confused. Body temperature was 39.2°C. Her blood test showed mild leukocytosis (WBC 10,090/mm3). [e-jmd.org]

  […] occur: extreme confusion loss of consciousness rapid, shallow breathing dry, hot, and red skin weak, fast pulse widened pupils seizures It is essential to seek treatment for fevers over 106.1°F to help prevent serious long-term complications or death [medicalnewstoday.com]

• Dizziness

  Early symptoms may include: increased thirst extreme sweating dizziness muscle cramps fatigue and weakness nausea light-headedness As the high temperature persists or gets worse, the severity of the symptoms can increase. [medicalnewstoday.com]

• Intracranial Hemorrhage

  Some other causes include the following: Intracranial hemorrhage In some cases, bleeding in the brain known as intracranial hemorrhage causes hyperpyrexia. Accidents or other traumas and strokes are the most likely cause of intracranial hemorrhage. [medicalnewstoday.com]

• Altered Mental Status

  Treatment • Monitoring and IV access should be obtained in the field for unstable patients or patients with altered mental status • Immediate treatment rarely required • Airway control, breathing and circulatory support for unstable patients • Initiate [slideshare.net]

  […] en Clinical manifestations of NMS are hyperpyrexia, muscle rigidity, altered mental status and evidence of autonomic instability (irregular pulse or blood pressure, tachycardia, diaphoresis and cardiac dysrhythmia sl Torej živi v Chicagu ali največ # [sl.glosbe.com]

  English Clinical manifestations of NMS are hyperpyrexia, muscle rigidity, altered mental status and evidence of autonomic instability (irregular pulse or blood pressure, tachycardia, diaphoresis and cardiac dysrhythmia). [mymemory.translated.net]

Psychosis can result from disease progression, medication side-effects, or an underlying illness. 6 The workup is similar to most patients with a new presentation of psychosis: a complete medication history, a search for occult causes and infections such [emdocs.net]

She was administered 2 liters of normal saline and a workup for possible infection ensued. Her sister later arrived and stated that her paroxetine dose was doubled from 20 to 40 mg last week and that she may have taken a few extra pills. [calpoison.org]

Hyperpyrexia calls for urgent treatment to lower the temperature, if permanent brain damage is to be avoided. hyperpyrexia excessively high fever; hyperthermia. [medical-dictionary.thefreedictionary.com]

After the patient failed to respond during a 2-week period to supportive measures, electroconvulsive therapy (ECT) treatment was commenced. [ncbi.nlm.nih.gov]

Treatment • Monitoring and IV access should be obtained in the field for unstable patients or patients with altered mental status • Immediate treatment rarely required • Airway control, breathing and circulatory support for unstable patients • Initiate [slideshare.net]

[…] for: TREATMENT OF MALIGNANT HYPERPYREXIA WITH A SEROTONIN RECEPTOR BLOCKER You will receive an email whenever this article is corrected, updated, or cited in the literature. [anesthesiology.pubs.asahq.org]

The prognosis is improved with early recognition and management. Mortality of up to 4% has been reported, but an additional one-third of patients have permanent sequelae. [ncbi.nlm.nih.gov]

Prognosis Currently associated with a less than 10% mortality rate, and getting significantly better. [medrevise.co.uk]

"Febrile seizures: risks, evaluation, and prognosis". American Family Physician. 85 (2): 149–53. PMID 22335215. ^ a b Gupta, A (February 2016). "Febrile Seizures". [en.wikipedia.org]

Anterior horn cell degeneration in the spinal cord adds to the morbidity and has adverse prognosis. Acknowledgment My sincere thanks to the Head of Department, faculty members, colleagues and my family for their immense support. [annalsofian.org]

[…] malignant catatonia,11 and dyskinesia-hyperpyrexia syndrome.12 The most common complications of PHS are respiratory insufficiency, sepsis, seizures, disseminated intravascular coagulation, and renal insufficiency; the latter 2 complications indicate poor prognosis [elsevier.es]

Negative blood, cerebrospinal fluid, and stool cultures excluded bacterial sepsis as a possible etiology. [ncbi.nlm.nih.gov]

Etiology • infectious process • Drugs – Antiarrhythmics (procainamide, quinidine) – Antibiotics (penicillins, sulfonamides, erythromycin, isoniazid, nitrofurantoin) – Anticonvulsants (barbiturates, carbamazepine, phenytoin) – Antidepressants (TCAs, monoamine [slideshare.net]

A wide range of etiologies have been identified in the literature for an insidious onset of hyperpryexia, however a rapid ascent higher than temperatures of 106.7°F has never been reported nor evaluated. [jem-journal.com]

Sioson and colleagues[3] examined adults and found (although this dates from many years ago) 39 adults with hyperpyrexia, and 94% of that group had an infectious etiology: bacterial, fungal, or viral. [medscape.com]

Epidemiology Pretty rare - about 1 in 10,000 operations will result in one of these. Pathophysiology It is an inherited autosomnal dominant condition. [medrevise.co.uk]

Google Scholar | Crossref | Medline | ISI Dagan R., Hall CB, Powell KR, Menegus MA Epidemiology and laboratory diagnosis of infection with viral and bacterial pathogens in infants hospitalized for suspected sepsis. J Pediatr. 1989;115: 351-356. [journals.sagepub.com]

Epidemiology The incidence of MH is low, but the prevalence can be estimated as up to 1:3,000. [ 1 ] It is inherited as an autosomal dominant gene of variable penetrance. [ 6 ] As may be expected with any familial condition, there are geographical clusters [patient.info]

"Relation between Elevated Ambient Temperature and Mortality: A Review of the Epidemiologic Evidence". Epidemiologic Reviews. 24 (2): 190–202. doi:10.1093/epirev/mxf007. ISSN 0193-936X. PMID 12762092. ^ Gover, Mary (1938). [en.wikipedia.org]

Temporal trends in the epidemiology of severe postoperative sepsis after elective surgery: a large, nationwide sample. Anesthesiology 2010 ; 112 : 917 – 925. 51. Berry, F., Blankenbaker, W., Ball, C.. [cambridge.org]

The pathophysiology, clinical features, and management of this uncommon cause of fever are discussed. [ncbi.nlm.nih.gov]

Pathophysiology It is an inherited autosomnal dominant condition. [medrevise.co.uk]

Effective strategies to prevent and treat AD remain elusive despite major efforts to understand its basic biology and clinical pathophysiology. Significant investments in therapeutic ... [annualreviews.org]

Fever is driven by different pathophysiology. Typically, patients suffering from hyperthermia have hot, dry skin. Patients who have infection might be warm or moist or sweaty. [medscape.com]

The pathophysiology of PHS is similar to that of NMS [ 4, 7 ]. PHS apart from dopamine withdrawal can get precipitated by intercurrent infections and dehydration similar to NMS [ 8 ]. [omicsonline.org]

If the patient shows unexplained changes in consciousness with hyperpyrexia after surgery, PHS should be considered and adequate treatment should be given immediately to prevent death. [ncbi.nlm.nih.gov]

In rats subjected to acute cold stress, asarone prevented the depletion of adrenal ascorbic acid showing thereby that it is an agent specific in counteracting stress. [jpet.aspetjournals.org]

It has been recommended for the treatment and prevention of PPH by ACOG, FIGO and WHO [ 9, 10, 11 ]. [bmcresnotes.biomedcentral.com]

Active and passive cooling, sedation and muscular paralysis may be required to prevent these complications. [calpoison.org]