Citation Information :
Joseph S, Bhattacharjee S, Sreekumar P. A hot body in a cold room hyperthermia secondary to rapid diuresis in cardiac failure; the perils of rapid fluid shifts. Indian J Crit Care Med 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.
Budd GM. Wet-bulb globe temperature (WBGT) – Its history and its limitations. J Sci Med Sport 2008;11:20-32.
Budyko MI, Tsytsenko GW. Climatic factors of thermal sensations of the man – Ser Geogr 1960;3:3-11.
McGeehin MA, Mirabelli M. The potential impacts of climate variability and change on temperature-related morbidity and mortality in the United States. Environ Health Perspect 2001;109 Suppl 2:185-9.
Wexler RK. Evaluation and treatment of heat-related illnesses. Am Fam Physician 2002;65:2307-14.
Atha WF. Heat-related illness. Emerg Med Clin North Am 2013;31:1097-108.
Poehlman ET, Scheffers J, Gottlieb SS, Fisher ML, Vaitekevicius P. Increased resting metabolic rate in patients with congestive heart failure. Ann Intern Med 1994;121:860-2.
Obisesan TO, Toth MJ, Donaldson K, Gottlieb SS, Fisher ML, Vaitekevicius P, et al. Energy expenditure and symptom severity in men with heart failure. Am J Cardiol 1996;77:1250-2.
Garty BZ. Furosemide-associated fever: Drug fever or dehydration fever? J Pediatr 1997;130:499-500.
Ebdrup L, Pedersen CM, Andersen MH, Storgaard M. Prolonged hyperthermia from furosemide infusion – A case report. Eur J Clin Pharmacol 2010;66:215-6.
Wankhade SP, Mujawar RY. Recent trends in modes of heat dissipation from the human body. Recent trends in Mechanical engineering, 2016. Int J Innov Eng Res Technol 2016:2394-3696.
