[Heat stroke and fulminans hepatitis: is MARS system relevant?].
Exertional heat stroke (EHS) is a life-threatening condition caused by an extreme elevation in core body temperature. Acute liver failure has been reported during EHS justifying liver transplantation in some cases. The Molecular Adsorbent Recirculating System (MARS) could be indicated in such situations. We report a case of a 58-year old patient who suffered acute liver failure occurring after EHS. The patient was referred for liver transplantation and benefited of MARS therapy. After three sessions of MARS, liver function improved progressively and the transplantation was not necessary. The patient completely recovered.
Biais
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Département d'anesthésie-réanimation I, CHU Pellegrin, 146, rue Leo-Saignat, 33076 Bordeaux cedex, France.
Nouette-Gaulain
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K
Lelias
A
A
Vallet
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A
Neau-Cransac
M
M
Revel
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P
Sztark
F
F
D001663:Bilirubin / Q000378:metabolism; D001772:Blood Cell Count; D003404:Creatinine / Q000097:blood; D018883:Heat Stroke / Q000150:complications / Q000628:therapy*; D006801:Humans; D017114:Liver Failure, Acute / Q000209:etiology / Q000628:therapy*; D008111:Liver Function Tests; D019164:Liver, Artificial; D008297:Male; D008875:Middle Aged; D005082:Physical Exertion / Q000502:physiology
D003404:Creatinine; D001663:Bilirubin