Pediatr Emerg Med J.  2024 Oct;11(4):179-184. 10.22470/pemj.2024.01060.

A case of successful pediatric heat stroke treatment using normothermic targeted temperature management

• Lee S
• Shin GS
• Kong SI
• Won Y
• Kwon YD
• Yoon JM
• Ko KO
• Lee IG
• Oh JS

• KMID: 2559551
• DOI: http://doi.org/10.22470/pemj.2024.01060

Abstract

This case report describes a successful use of normothermic targeted temperature management (TTM) for the treatment of a 14-year-old girl with exertional heat stroke. Upon hospitalization, she exhibited a 40.5 ℃ core temperature and multiorgan failure. We immediately applied the TTM, targeting a range of 36-37 ℃. Her condition improved rapidly, with vital signs stabilized and consciousness fully regained by day 3. She experienced a bimodal pattern of rhabdomyolysis during recovery, which was managed without further complications. No neurological sequelae were observed, and all laboratory parameters were normalized before discharge on day 10. This case suggests the potential efficacy of normothermic TTM in pediatric heat stroke.

Keyword

Heat Stress Disorders; Heat Stroke; Hypothermia, Induced; Recurrence; Rhabdomyolysis

Figure

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  Fig. 1. The trends of serum concentrations of CK (solid line) and CK-MB (dashed line) since the first arrival at the emergency department. CK increased up to 5,493 IU/L (day 2) and then declined. However, after resuming light ambulatory activity on day 5, CK peaked again at 11,819 IU/L on day 7. CK-MB peaked at 154.3 IU/L on day 1 and then declined. CK: creatine kinase.

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  Fig. 2. The trends of serum concentrations of blood urea nitrogen (solid line) and creatinine (dashed line).

Reference

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