Reactions 1704, p286 - 2 Jun 2018 Hypothermia: case report An 83-year-old woman developed hypothermia during treatment with olanzapine for generalised anxiety disorder [route not stated]. The woman was transferred to the emergency room with a decreased level of consciousness and Glasgow coma scale score of 7. She was responsive and was able to localise pain. She was noted to have bradycardia. Her BP was 80/150mm Hg and respiratory rate was 26 /minute. Her physical examination showed anal temperature of 30.9°C. At the time of admission, an ECG revealed sinus bradycardia with J waves. It was reported that she was suffering from generalised anxiety disorder for the last 2 years and was prescribed olanzapine 7.5mg daily for two years. On the days before the event, she experienced a cognitive impairment with heat intolerance and her olanzapine dose was reduced to 5mg daily. Based on the clinical findings, her body temperature and ECG findings, she was diagnosed with hypothermia associated with the use of The woman was rewarmed gradually with warmed sodium chloride [saline] solutions, washing with warm fluids through nasogastric tube and urinary catheter, and external heating by thermal blanket. Treatment with olanzapine was stopped and she regained consciousness after 18 hours. Following clinical improvement, her body temperature was measured as 37.8°C and there was an overall improvement in her neurological conditions. Author comment: "Based on the findings in our patient and from the data from literature, we hypothesize that the patient developed hypothermia due to olanzapine." Monti M, et al. Olanzapine-associated hypothermia: A case report of a rare event. Italian Journal of Medicine 12: 67-69, No. 1, Jan 2018 - Italy 803322984 0114-9954/18/1704-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved Reactions 2 Jun 2018 No. 1704
Reactions Weekly – Springer Journals
Published: Jun 2, 2018
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