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Case
Four happened outside of a medical facility or hospital. This boy had general anesthesia
in the past. At that time after 15 min of sevoflurane, he abruptly developed an end tidal
carbon dioxide > 70 mmHg, heart rate of > 150/min, and core temperature increased
from 36.7 ºC to 39.4 ºC. He received dantrolene and recovered without sequelae from that
anesthetic. Post operative creatine kinase was > 9,000 IU. Eight months later, he
played football. After the game, he developed ascending weakness and became hot &
stiff. He suffered a cardiac arrest from which he could not be resuscitated. Post mortem
exam identified a causative mutation for MH susceptibility in this patient (14,15).He
never had an IVCT. Is this MH? |
