CA LÂM SÀNG SỐT THẦN KINH SAU CHẤN THƯƠNG TUỶ SỐNG

Abstract

Neurological fever was a rare and potentially fatal condition in spinal cord injury patients. Patients usually do not respond to conventional antipyretics and are diagnosed with neurological fever after excluding other causes of fever. This condition is understood to be caused by autonomic neurological dysfunction leading to impaired thermoregulatory function. We reported a clinical case: A 42-year-old male patient with a fever of 41°C for 4 days following a spinal cord injury involving C5-C6 segments. Fever did not respond to paracetamol. After excluding both infectious and non-infectious causes of fever, hyperthermia was said to be due to neurological fever. The patient continued to have a high fever, developed rhabdomyolysis and multiple organ failure, and died after 3 weeks. Through this case, we emphasize the need to be aware of the difference between neurogenic fever and other cases of severe fever after spinal cord injury to diagnose and have an appropriate febrile management attitude, which improves the patient’s prognosis.