Heat stroke in familial dysautonomia.
A 14-month-old female with familial dysautonomia was referred to the pediatric department with high fever (41.6 degrees C), watery diarrhea, and vomiting. A few hours later, signs of encephalopathy appeared. Laboratory tests revealed elevated levels of lactate dehydrogenase (3500 U/L), aspartate aminotransferase (640 U/L), alanine aminotransferase (320 U/L), and creatine kinase (28,420 U/L). The diagnosis was heat stroke. Impaired autonomic nervous system function may be another risk factor for the development of heat stroke in young children.
Department of Pediatrics B, Schneider Children's Medical Center of Israel, Sackler Faculty of Medicine, Tel Aviv University, Petah Tiqva, Israel.
Irit
I
Tirosh
Vered
V
Hoffer
Yaron
Y
Finkelstein
Ben Zion
BZ
Garty
D001341:Autonomic Nervous System / Q000503:physiopathology; D003967:Diarrhea / Q000209:etiology; D004402:Dysautonomia, Familial / Q000150:complications / Q000503:physiopathology*; D005260:Female; D005334:Fever / Q000209:etiology; D018883:Heat Stroke / Q000150:complications / Q000201:enzymology / Q000209:etiology / Q000503:physiopathology*; D006801:Humans; D007223:Infant; D014839:Vomiting / Q000209:etiology