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Malignant hyperthermia (MH) is a type of severe reaction that occurs in response to particular medications used during general anesthesia, among those who are susceptible. [1] Symptoms include muscle rigidity , fever , and a fast heart rate . [ 1 ]
The rationale for this approach is the simultaneous utilization of three different antineoplastic strategies: surgical resection, chemotherapy, and hyperthermia. The goal of surgical cytoreduction is to remove all gross disease including tumors that are in resectable areas of the lung or other structures and any large pleural nodules.
Symptoms are sometimes misinterpreted by doctors as symptoms of mental illness which can result in delayed treatment. [11] Symptoms may also be mistaken for similarly presenting conditions such as malignant hyperthermia, serotonin syndrome, or withdrawal from illicit drugs such as alcohol cocaine, or MDMA. [7]
The presence of signs and symptoms related to hyperthermia syndromes, such as extrapyramidal symptoms characteristic of neuroleptic malignant syndrome, and the absence of signs and symptoms more commonly related to infection-related fevers, are also considered in making the diagnosis.
Hyperthermic intraperitoneal chemotherapy (HIPEC) is a type of hyperthermia therapy used in combination with surgery in the treatment of advanced abdominal cancers. [1] In this procedure, warmed anti-cancer medications are infused and circulated in the peritoneal cavity (abdomen) for a short period of time.
Onset of symptoms is typically within a day of the extra serotonin. [2] Diagnosis is based on a person's symptoms and history of medication use. [2] Other conditions that can produce similar symptoms such as neuroleptic malignant syndrome, malignant hyperthermia, anticholinergic toxicity, heat stroke, and meningitis should be ruled out. [2]
Malignant hyperthermia: Ligand-gated calcium channel Mucolipidosis type IV: Non-selective cation channel Myotonia congenita: Voltage-dependent chloride channel Neuromyelitis optica: Aquaporin-4 water channel Neuromyotonia: Voltage-gated potassium channel Nonsyndromic deafness: various Paramyotonia congenita (a periodic paralysis) Voltage-gated ...
Sepsis, encephalitis, neuroleptic malignant syndrome, [8] malignant hyperthermia, [8] lethal catatonia, spinal cord injury (not associated with PSH), seizures, and hydrocephalus (this can be associated with PSH) are examples of diagnoses that should be considered due to the manifestation of similar symptoms before confirming a diagnosis of PSH. [3]