[Severe dehydration and August 2003 heat wave in a cohort of adults with cystic fibrosis]

Presse Med. 2005 May 14;34(9):647-8. doi: 10.1016/s0755-4982(05)84003-5.
[Article in French]

Abstract

Objective: To study dehydration related to the August 2003 heat wave in France in a cohort of adults with cystic fibrosis. Method Retrospective study of the telephone calls received from and hospital admissions of all adult cystic fibrosis patients (n=245) regularly followed in our specialized clinic.

Results: Six patients developed extracellular dehydration with functional kidney failure concomitant to intracellular dehydration with hypokalemia and hypochloremia. Rehydration measures normalized the blood chemistry measures within 48 hours for all patients except one, who died of malignant hyperthermia.

Conclusion: In hot weather, it is essential for patients with cystic fibrosis to take measures (hydration, salt supplementation) to prevent severe dehydration.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Acute Kidney Injury / etiology*
  • Adult
  • Chlorides / blood
  • Cystic Fibrosis / complications*
  • Dehydration / blood
  • Dehydration / epidemiology*
  • Dehydration / etiology
  • Dehydration / prevention & control
  • Disease Outbreaks*
  • Disease Susceptibility
  • Female
  • Fluid Therapy
  • Hot Temperature / adverse effects*
  • Humans
  • Hypokalemia / epidemiology
  • Hypokalemia / etiology
  • Male
  • Malignant Hyperthermia / etiology
  • Malignant Hyperthermia / mortality
  • Paris / epidemiology
  • Patient Admission / statistics & numerical data
  • Retrospective Studies
  • Seasons
  • Telephone / statistics & numerical data
  • Temperature
  • Water-Electrolyte Imbalance / blood
  • Water-Electrolyte Imbalance / epidemiology
  • Water-Electrolyte Imbalance / etiology

Substances

  • Chlorides