| A case of successful pediatric heat stroke treatment using normothermic targeted temperature management |
Seungjin Lee1
, Geun Seop Shin1
, Sang-I Kong1
, Yoseop Won1
, Young Dai Kwon2
, Jung Min Yoon1
, Kyoung Ok Ko1
, In Goo Lee1
, Jun Suk Oh1
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1Department of Pediatrics, Konyang University Hospital, Daejeon, Republic of Korea
2Department of Pediatrics, Chungnam National University Hospital, Daejeon, Republic of Korea |
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Received: August 11, 2024; Revised: September 2, 2024 Accepted: September 2, 2024. Published online: October 1, 2024. |
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| ABSTRACT |
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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. |
| Key Words:
Heat Stress Disorders; Heat Stroke; Hypothermia, Induced; Recurrence; Rhabdomyolysis |
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