{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T07:52:50Z","timestamp":1753861970454,"version":"3.41.2"},"reference-count":7,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,12,12]],"date-time":"2020-12-12T00:00:00Z","timestamp":1607731200000},"content-version":"vor","delay-in-days":346,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acute Medicine &amp; Surgery"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>During a heat stroke, microvascular injury may occur as a result of thermal damage and systemic hypoperfusion. We present a case of an older woman who experienced emphysematous cholecystitis during a treatment of heat stroke.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>A 91\u2010year\u2010old woman presented unconscious with a blood pressure, pulse, and core temperature of 73\/48\u00a0mmHg, 135\u00a0bpm, and 39.8\u00b0C, respectively. The patient was diagnosed with heat stroke. Twenty\u2010two hours after arrival, the patient fell into septic shock. We diagnosed emphysematous cholecystitis and performed an emergency cholecystectomy. As the bile culture was positive for <jats:italic>Clostridium perfringens<\/jats:italic>, meropenem was administered. The patient was transferred for rehabilitation 32\u00a0days after admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Emphysematous cholecystitis can present during a treatment of heat stroke. An abdominal X\u2010ray examination should be performed during treatment of heat stroke in the acute phase regardless of the physical assessment.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ams2.613","type":"journal-article","created":{"date-parts":[[2020,12,12]],"date-time":"2020-12-12T13:35:35Z","timestamp":1607780135000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Emphysematous cholecystitis during the treatment of heat stroke"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2002-7780","authenticated-orcid":false,"given":"Naomasa","family":"Yoshiyama","sequence":"first","affiliation":[{"name":"Department of Emergency and Disaster Medicine Gifu University Graduate School of Medicine Gifu Japan"},{"name":"Fukuokaken Saiseikai Futsukaichi Hospital Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7775-4308","authenticated-orcid":false,"given":"Hideshi","family":"Okada","sequence":"additional","affiliation":[{"name":"Department of Emergency and Disaster Medicine Gifu University Graduate School of Medicine Gifu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahito","family":"Miyake","sequence":"additional","affiliation":[{"name":"Department of Emergency and Disaster Medicine Gifu University Graduate School of Medicine Gifu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuichiro","family":"Kitagawa","sequence":"additional","affiliation":[{"name":"Department of Emergency and Disaster Medicine Gifu University Graduate School of Medicine Gifu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuya","family":"Fukuta","sequence":"additional","affiliation":[{"name":"Department of Emergency and Disaster Medicine Gifu University Graduate School of Medicine Gifu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryu","family":"Yasuda","sequence":"additional","affiliation":[{"name":"Department of Emergency and Disaster Medicine Gifu University Graduate School of Medicine Gifu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikiko","family":"Matsuo","sequence":"additional","affiliation":[{"name":"Department of Tumor Pathology Gifu University Graduate School of Medicine Gifu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5121-6325","authenticated-orcid":false,"given":"Yuichiro","family":"Hatano","sequence":"additional","affiliation":[{"name":"Department of Tumor Pathology Gifu University Graduate School of Medicine Gifu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Tomita","sequence":"additional","affiliation":[{"name":"Department of Tumor Pathology Gifu University Graduate School of Medicine Gifu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shozo","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Emergency and Disaster Medicine Gifu University Graduate School of Medicine Gifu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinji","family":"Ogura","sequence":"additional","affiliation":[{"name":"Department of Emergency and Disaster Medicine Gifu University Graduate School of Medicine Gifu Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12,12]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"1996","volume-title":"Harrison\u2019s Principles of Internal Medicine","author":"Greenberger NJ","year":"2008"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/ATVBAHA.107.158709"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.00301.2010"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1026118320460"},{"key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"5217690","DOI":"10.1155\/2016\/5217690","article-title":"Bowel ischemia from heat stroke: a rare presentation of an uncommon complication","volume":"2016","author":"Masood U","year":"2016","journal-title":"Case Rep. 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