title: Heat stroke complicated by liver failure and hyperbilirubinaemia--a case report.
abstract: Heat stroke may appear as a result of exposure to high environmental temperature or strenuous exercise. It represents a medical emergency characterized by an elevated core body temperature and multi-organ failure. We have described a case of a 41 year-old female after sun exposure, who was admitted to the hospital with the temperature of 42 degrees C. Because of high plasma bilirubin level the Molecular Adsorbent Recirculating System (MARS) was started. Three sessions of MARS, which lasted for eight hours each, were conducted on 15h, 18th, and 23rd day of hospitalization. The procedure was well tolerated by the patient and resulted in a sustained decline of plasma bilirubin from 33.5 to 14.7 mg/dl. The female was discharged from the hospital in good general condition. The two months follow up showed that the patient felt very well, and the plasma bilirubin was reduced to 2.2 mg/dl.
authors.affiliation: Department and Clinic of Internal Diseases, Geriatrics and Clinical Toxicology Medical University of Gdańsk. jsanand@amedec.amg.gda.pl
authors.forename: Jacek
authors.initials: J
authors.lastname: Sein Anand
authors.forename: Zygmunt
authors.initials: Z
authors.lastname: Chodorowski
authors.forename: Roman P
authors.initials: RP
authors.lastname: Korolkiewicz
mesh_terms: D000328:Adult; D001663:Bilirubin / Q000097:blood*; D001831:Body Temperature; D003128:Coma / Q000209:etiology / Q000628:therapy; D005260:Female; D006464:Hemoperfusion / Q000379:methods; D006501:Hepatic Encephalopathy / Q000209:etiology / Q000628:therapy; D006801:Humans; D006932:Hyperbilirubinemia / Q000209:etiology / Q000628:therapy*; D017114:Liver Failure, Acute / Q000209:etiology / Q000628:therapy*; D008111:Liver Function Tests; D019164:Liver, Artificial; D009102:Multiple Organ Failure / Q000209:etiology / Q000628:therapy*; D012121:Respiration, Artificial; D013474:Sunstroke / Q000150:complications* / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D001663:Bilirubin