중년남성에서 발병한 악성 고열 유사 증후군 1예 |
김자선, 김나영, 윤한결, 이기종, 김용현, 신동현 |
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A Case of Malignant Hyperthermia Like Syndrome in Middle Aged Man |
Ja Seon Kim, Nha Young Kim, Han Kyeol Yun, Ki Jong Lee, Yong Hyun Kim, Dong Hyun Shin |
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Abstract |
Malignant hyperthermia like syndrome (MHLS) is a rare complication that encountered during the treatment of patients with hyperglycemic hyperosmolar nonketotic syndrome. Most reports were children and adolescents that had suffered from MHLS. The clinical manifestations in patients with MHLS included idiopathic hyperthermia, rhabdomyolysis, renal insufficiency and cardiac instability with high mortality. No underlying pathogenesis could explain this syndrome precisely, so there had been no definite treatment guidelines for MHLS. We report here on a case of MHLS that presented in a middle aged man, not in adolescents, who had recovered fully only with conservative treatments. (Korean Clinical Diabetes J 11:153-158, 2010) |
Key Words:
Hyperglycemic hyperosmolar nonketotic coma, Malignant hyperthermia, Rhabdomyolysis |
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