* Recognize the clinical manifestations of serotonin syndrome, which may include agitation, diaphoresis
, hyperthermia, hyperreflexia, and clonus.
Hypertension, tachycardia, tachypnea, diaphoresis
, and dystonia are the most commonly identified symptoms of PSH.
A PSH episode was defined as a cluster of symptoms, which include hyperthermia without a source of infection, hypertension, tachycardia, tachypnea (based on age-appropriate vital sign parameters), diaphoresis
, and/or dystonia.
Given the dizziness and diaphoresis
initially, patient had an ECG performed which showed lateral ST segment elevation (Figure 1) and had a subsequent troponin I that was positive, 0.49ng/mL, with a Creatine Phosphokinase (CPK) of 617 U/L.
He stopped all antihypertensive medications and had no palpitations, diaphoresis
, flushing, headaches, or other symptoms of catecholamine excess.
A 32-year-old National Guard member stationed in Nevada, with no significant past medical history presented with three weeks of progressive dyspnea, fevers, fatigue, diaphoresis
, and weight loss.
However, features such as diaphoresis
, rigidity, and elevated CK levels are not typical for this syndrome.
The most common clinical manifestation was respiratory distress (50%) followed by neck muscle weakness/ fasciculations (44%), miosis (40%) and diaphoresis
It might also cause pruritus (16%), urticaria (5-18%), and diaphoresis
He had decreased level of consciousness, muscle rigidity, diaphoresis
, fever, drooling, urinary incontinence, and high blood pressure.
We present a case of sporadic insulinoma in a yo ung, 24-year-old female patient, who presented witl a 2-month history of episodic shaking, diaphoresis
increased hunger, confusion, obtundation and fainting Symptoms of neuroglycopenia were predominant, sc the family members reported that the patient has un dergone a personality change.
It inhibits a2 receptors and induces excretion of epinephrine, norepinephrine, and their metabolites; it also increases in hydrocortisone and corticotrophin-releasing factor.[sup] Alcohol inhibits the excitatory neurotransmitter glutamate by suppression of postsynaptic-methyl-d-aspartate glutamate receptor.[sup] Alcohol reinforces the inhibitory neurotransmitter gamma-aminobutyric acid (GABA) at GABA-A receptors.[sup] After prolonged intake of alcohol, reductions lead to CNS hyperexcitation such as tachycardia, hypertension, diaphoresis
insomnia, anxiety, increased BT, as well as hand tremor.