Diagnosis:
Clinical:
- Hyperpyrexia +autonomic instability + muscle rigidity +tachycardia +fluctuation of consciousness
Investigations to consider:
- FBC: leukocytosis, LFTs: AST & ALT are high, U&E, creatinine
- Creatine kinase: high,, plasma myoglobin: high
- Urinalysis for myoglobin: myoglobinuria
Treatment:
- Discontinuing the offending drug/drugs
- Cooling
- Dantrolene
- Dopamine agonist e.g. bromocriptine