title: Fatal hyperthermia due to dental treatment.
abstract: A 12-year-old boy with mental retardation and cerebral palsy developed hyperthermia during dental treatment performed while he was conscious. During the treatment, he was highly excited, and shortly after completion of the procedure, general muscular spasms occurred. His axillary temperature was 41.6 degrees C then. He was transferred to another general hospital and there he was judged to have become afebrile and was discharged. His condition deteriorated during the night, and he was readmitted to the same hospital the following morning. The patient did not respond to the therapy and died from multiple organ failure on the 13th day. It was thought that hyperthermia had led to rhabdomyolysis and DIC. The cause of death is discussed. Hyperthermia in a handicapped patient is not always transient or benign, and can be life threatening.
authors.affiliation: Department of Dental Anesthesiology, Tsurumi University School of Dental Medicine, Yokohama, Japan. fountain_2057@pop21.odn.ne.jp
authors.forename: Izumi
authors.initials: I
authors.lastname: Noguchi
authors.forename: Hideki
authors.initials: H
authors.lastname: Ohno
authors.forename: Koji
authors.initials: K
authors.lastname: Takano
authors.forename: Rikako
authors.initials: R
authors.lastname: Shimada
authors.forename: Mami
authors.initials: M
authors.lastname: Sasao
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Shimonaka
mesh_terms: D000766:Anesthesia, Dental / Q000009:adverse effects*; D000772:Anesthesia, Local / Q000009:adverse effects*; D002547:Cerebral Palsy; D002648:Child; D003730:Dental Care for Persons with Disabilities / Q000009:adverse effects*; D004211:Disseminated Intravascular Coagulation / Q000209:etiology; D017809:Fatal Outcome; D006801:Humans; D008607:Intellectual Disability; D008297:Male; D008305:Malignant Hyperthermia / Q000150:complications / Q000209:etiology*; D009102:Multiple Organ Failure / Q000209:etiology; D012206:Rhabdomyolysis / Q000209:etiology