A hot body in a cold room hyperthermia secondary to rapid diuresis in cardiac failure; the perils of rapid fluid shifts

Boby Varkey Maramattom, Surya Joseph, Siddharth Bhattacharjee, Anil Kumar, Praveen SreekumarIndian Journal of Critical Care Medicine 2018 22(8):608-610
A 66-year-old man was admitted with anasarca and congestive cardiac failure. He was started on intravenous diuretics and fluid restriction and lost nearly 35 kg of fluids in 13 days. He then developed hyperthermia and delirium. An extensive workup was inconclusive. Analysis of his inpatient fluid balance chart revealed the chance association of massive fluid loss and hyperthermia. Rapid diuresis-induced hyperthermia and volume contraction were considered, and his fluid balance was adjusted. Within 2 days, his temperature normalized and he regained consciousness. Hyperthermia and its causative mechanism are discussed in this article.

Source: Indian Journal of Critical Care Medicine - August 17, 2018 Category: Intensive Care Authors: Boby Varkey Maramattom Surya Joseph Siddharth Bhattacharjee Anil Kumar Praveen Sreekumar Source Type: research