Effectively managing intractable central hyperthermia in a stroke patient by bromocriptine: a case report
Kuo-Wei Yu,1,* Yu-Hui Huang,2,3 Chien-Lin Lin,1,4,* Chang-Zern Hong,5 Li-Wei Chou1,41Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan; 2School of Medicine, Chung Shan Medical University, Taichung, Taiwan; 3Department of Physical Medicine and Reh...
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2013-05-01
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doaj-f6b702cf0a344125a3ed3c737f80cda62020-11-25T01:01:34ZengDove Medical PressNeuropsychiatric Disease and Treatment1176-63281178-20212013-05-012013default605608Effectively managing intractable central hyperthermia in a stroke patient by bromocriptine: a case reportYu KWHuang YHLin CLHong CZChou LWKuo-Wei Yu,1,* Yu-Hui Huang,2,3 Chien-Lin Lin,1,4,* Chang-Zern Hong,5 Li-Wei Chou1,41Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan; 2School of Medicine, Chung Shan Medical University, Taichung, Taiwan; 3Department of Physical Medicine and Rehabilitation, Chung Shan Medical University Hospital, Taichung, Taiwan; 4School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; 5Department of Physical Therapy, Hungkuang University, Taichung, Taiwan*These authors contributed equally to this workAbstract: Central hyperthermia is characterized by a rapid onset, high temperature, marked temperature fluctuation, and poor response to antipyretics and antibiotics. Although poststroke central hyperthermia is common, prolonged instances are rare. We report a case of prolonged central fever after an intracranial hemorrhage. Before the accurate diagnosis and management of central fever, the patient underwent long-term antibiotic use that led to pseudomembranous colitis. Bromocriptine was used to treat the prolonged central hyperthermia, after which the fever did not exceed 39°C. A week later, the body temperature baseline was reduced to 37°C and a low-grade fever with minor temperature fluctuation occurred only a few times. No fever occurred in the month following the treatment. After the fever subsided, the patient could undergo an aggressive rehabilitation program.Keywords: bromocriptine, central hyperthermia, fever, strokehttp://www.dovepress.com/effectively-managing-intractable-central-hyperthermia-in-a-stroke-pati-a12936 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yu KW Huang YH Lin CL Hong CZ Chou LW |
spellingShingle |
Yu KW Huang YH Lin CL Hong CZ Chou LW Effectively managing intractable central hyperthermia in a stroke patient by bromocriptine: a case report Neuropsychiatric Disease and Treatment |
author_facet |
Yu KW Huang YH Lin CL Hong CZ Chou LW |
author_sort |
Yu KW |
title |
Effectively managing intractable central hyperthermia in a stroke patient by bromocriptine: a case report |
title_short |
Effectively managing intractable central hyperthermia in a stroke patient by bromocriptine: a case report |
title_full |
Effectively managing intractable central hyperthermia in a stroke patient by bromocriptine: a case report |
title_fullStr |
Effectively managing intractable central hyperthermia in a stroke patient by bromocriptine: a case report |
title_full_unstemmed |
Effectively managing intractable central hyperthermia in a stroke patient by bromocriptine: a case report |
title_sort |
effectively managing intractable central hyperthermia in a stroke patient by bromocriptine: a case report |
publisher |
Dove Medical Press |
series |
Neuropsychiatric Disease and Treatment |
issn |
1176-6328 1178-2021 |
publishDate |
2013-05-01 |
description |
Kuo-Wei Yu,1,* Yu-Hui Huang,2,3 Chien-Lin Lin,1,4,* Chang-Zern Hong,5 Li-Wei Chou1,41Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan; 2School of Medicine, Chung Shan Medical University, Taichung, Taiwan; 3Department of Physical Medicine and Rehabilitation, Chung Shan Medical University Hospital, Taichung, Taiwan; 4School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; 5Department of Physical Therapy, Hungkuang University, Taichung, Taiwan*These authors contributed equally to this workAbstract: Central hyperthermia is characterized by a rapid onset, high temperature, marked temperature fluctuation, and poor response to antipyretics and antibiotics. Although poststroke central hyperthermia is common, prolonged instances are rare. We report a case of prolonged central fever after an intracranial hemorrhage. Before the accurate diagnosis and management of central fever, the patient underwent long-term antibiotic use that led to pseudomembranous colitis. Bromocriptine was used to treat the prolonged central hyperthermia, after which the fever did not exceed 39°C. A week later, the body temperature baseline was reduced to 37°C and a low-grade fever with minor temperature fluctuation occurred only a few times. No fever occurred in the month following the treatment. After the fever subsided, the patient could undergo an aggressive rehabilitation program.Keywords: bromocriptine, central hyperthermia, fever, stroke |
url |
http://www.dovepress.com/effectively-managing-intractable-central-hyperthermia-in-a-stroke-pati-a12936 |
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