A Case of Neuroleptic Malignant Syndrome (NMS) after Operation for of Sigmoid Volvulus
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- An Byonggu
- Depertment of Surgery, Kyoto Second Red Cross Hospital
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- Ohgaki Masaharu
- Depertment of Surgery, Kyoto Second Red Cross Hospital
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- Izumi Hiroshi
- Depertment of Surgery, Kyoto Second Red Cross Hospital
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- Takenaka Atsushi
- Depertment of Surgery, Kyoto Second Red Cross Hospital
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- Kakihara Naoki
- Emergency and Critical Care Center, Kyoto Second Red Cross Hospital
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- Iizuka Ryoji
- Emergency and Critical Care Center, Kyoto Second Red Cross Hospital
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- Kitamura Makoto
- Emergency and Critical Care Center, Kyoto Second Red Cross Hospital
Bibliographic Information
- Other Title
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- S状結腸捻転術後,急激な経過をたどった悪性症候群の1例
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Abstract
We report a case of neuroleptic malignant syndrome (NMS) after an operation for sigmoid volvulus. A 54-year-old man who had a history of schizophrenia since the age of 18, complained of vomiting and abdominal pain, and was admitted to the hospital for acute peritonitis. Abdominal X-ray examination and abdominal CT revealed a markedly dilated sigmoid colon. General peritonitis was suspected and an emergency laparotomy was performed, which showed volvulus of the sigmoid colon with a 180°C clockwise torsion. Five days after the operation, a high grade fever (over 40°C) persisted despite administration of antibiotics and normalization of white blood cell count. The patient demonstrated extrapyramidal symptoms, and NMS was diagnosed. Although much infusion and systemic cooling was performed, the patient died suddenly five days after the operation. The autopsy showed no significant pathological changes of any tissues, (including brain, muscle, and heart.). NMS must be kept in mind as a differential diagnosis of treatment-resistant patients with high grade fever, if the any antipsychotic agents have been administered to the patient.
Journal
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- Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
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Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 24 (4), 837-840, 2004
Japanese Society for Abdominal Emergency Medicine
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Details 詳細情報について
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- CRID
- 1390282679710929536
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- NII Article ID
- 130004243343
- 10013118989
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- NII Book ID
- AN10426469
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- ISSN
- 18824781
- 13402242
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed