Case 20-1983

Presentation of CaseA 33-year-old man was admitted to the hospital because of a question of heatstroke.He was well until one week earlier, when he began to have occasional headaches. One day before admission he worked outdoors in a gasoline station while the ambient temperature rose to 32.2°C He felt hot and dry and submerged himself in a swimming pool; he was not improved and began to shiver. That evening he was taken to another hospital, where examination showed that his temperature was 41.1°C, the pulse 110, and the blood pressure 130/80 mm Hg. He was alert; his skin . . .