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November 1976

Heat Stroke in Infancy

Author Affiliations

From the Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tenn.

Am J Dis Child. 1976;130(11):1250-1251. doi:10.1001/archpedi.1976.02120120084015

• We observed a 16-month-old infant with residual brain damage following a heat stroke from being left in a parked automobile. In contrast with adults, in whom heat stroke usually follows strenuous exercise, the condition in infants usually results from excessive environmental temperature and/or dehydration. Early recognition of the illness is imperative. Three cardinal features are hot, dry skin, central nervous system disturbance, and hyperpyrexia. Immediate treatment should be aimed at improving circulation with volume expanders and rapid cooling. Other supportive measures may be necessary to control seizures, renal failure, hematologic abnormalities, or hepatic involvement.

(Am J Dis Child 130:1250-1251, 1976)

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