急速な意識障害を呈して死亡した62歳男性

A 62-year-old Man with an Acute Onset of Consciousness Disturbance

症例提示

　症例：T．H．，62歳，男性（02419314），1933年5月5日生まれ，1996年5月3日死亡。

　主訴：意識障害

We report a 62-year-old man who developed coma and died in a fulminant course. The patient was well until May 1, 1996 when he noted chilliness, tenderness in his shoulders, and he went to bed without having his lunch and dinner. In the early morning of May 2, his families found him unrespon-sive and snoring ; he was brought into the ER of our hospital. He had histories of hypertension, gout, and hyperlipidemia since 42 years of the age.

On admission, his blood pressure was 120/70, heart rate 102 and regular, and body temperature 36.3℃.