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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Normothermic treatment in acute clinical encephalitis: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Normothermic treatment in acute clinical encephalitis a case report Mari Terashima1 Hiroshi Kataoka 1 Katsuji Hirai2 and Satoshi Ueno1 Address Department of Neurology Nara Medical University Kashihara Nara 634-8522 Japan and 2Department of Intensive Care Unit Nara Medical University Kashihara Nara 634-8522 Japan Email Mari Terashima - maritanikake@hotmail.com Hiroshi Kataoka - hk55@naramed-u.ac.jp Katsuji Hirai - hkatsuji@naramed-u.ac.jp Satoshi Ueno - sueno@naramed-u.ac.jp Corresponding author Published 25 July 2008 Received 3 November 2007 Journal of Medical Case Reports 2008 2 246 doi 10.1186 1752-1947-2-246 Accepted 25 July 2008 This article is available from http www.jmedicalcasereports.cOm content 2 1 246 2008 Terashima et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract 3 Introduction Encephalitis is a common infection of the brain associated with a high risk of mortality and morbidity despite intensive supportive therapy. This report describes a patient with acute clinical meningoencephalitis who responded dramatically when her body temperature was decreased to normothermia 36 to 37 C in combination with barbiturate therapy. Case presentation A 15-year-old previously healthy girl presented with a 2-day history of headache and meningeal stiffness and pyrexia. Cranial magnetic resonance imaging showed high-intensity signals in the splenium of the corpus callosum on T2-weighted and diffusion-weighted images. On day 4 of admission the level of consciousness decreased and ataxic respiration and apnea appeared. After that fever body temperature 40 C developed with remarkable tachycardia. The body temperature was decreased with the use of a .
