standard measures were used to treat hy-
potension, acidosis, and hyperkalemia.
Active cooling was performed. The pa-
tient stabilized and was transferred to
the intensive care unit where dantrolene
(2.5 mg/kg every 6 hours) was continued
for 24 hours.
The patient remained in hospital
for 6 days, during which she developed a
wound infection, Clostridium difficile di-
arrhea, and deep vein thrombosis, all of
which responded to appropriate ther-
apy. The patient has subsequently been
well for 1 year.
Application of an MH clinical
grading scale to this scenario results in a
score of 63, classifying the clinical epi-
sode as almost certain MH (1). Genetic
testing identified a novel mutation in a
skeletal muscle L-type calcium chan-
nel, other mutations of which are
associated with MH (2). The patient
declined open muscle biopsy for defin-
itive diagnosis using the caffeine halo-
thane contracture test.
This case emphasizes the vari-
able presentation of MH. Although the
syndrome classically manifests soon
after first exposure to a triggering
agent, departures from this pattern
can occur (3, 4). This patient had pre-
sumably been exposed to volatile anes-
thetic agents without complications
previously, and the manifestations of
MH in this case became apparent 2
hours after exposure to sevoflurane.
This case also serves to reinforce a
number of important considerations for
living donor programs. Despite best ef-
forts to minimize donor complications,
it is inevitable that unpredictable and
unpreventable life-threatening scenar-
ios will occur, including MH, anaphy-
laxis, or acute respiratory distress
syndrome. Although the risks of these
extremely rare adverse events occurring
in ill patients undergoing needed sur-
gery are heavily outweighed by the ben-
efits of a proposed intervention, such an
argument is not relevant in the case of
living donors. We place great emphasis
on fully apprising potential donors
about all potential risks involved in do-
nation. In light of cases such as this one,
we believe that the informed consent
process should include a discussion of
potentially catastrophic events however
rare they may be.
The successful salvage of this patient
reflects the importance of prompt recog-
nition and treatment of MH by a multidis-
ciplinary team once the syndrome was
suspected. Despite resolution of the acute
crisis, a number of secondary complica-
tions followed, illustrating the aphorism
that “complications beget complications.”
For otherwise healthy living donors, in
whom the desired outcome is full and nor-
mal resumption of preoperative activities,
the morbidity associated with numerous
minor complications may equal that of an
isolated major complication.
Although prevention of complica-
tions is an important component of
patient safety, the ability to “rescue” pa-
tients from adverse events is a significant
predictor of patient outcomes (5). In re-
porting the first case of MH developing in
a living organ donor, this case highlights
the need for transplant programs offering
surgery to living donors to actively main-
tain the resources and expertise necessary
to recognize and respond to both com-
mon and unusual complications, such
that the chance of donor survival is maxi-
mized should adverse events occur.
Anand Ghanekar
1
Robert M. Richardson
2
W. Scott Beattie
3
1
Department of Surgery
Toronto General Hospital
University Health Network
Toronto, ON, Canada
2
Department of Medicine
Toronto General Hospital
University Health Network
Toronto, ON, Canada
3
Department of Anesthesia
Toronto General Hospital
University Health Network
Toronto, ON, Canada
Address correspondence to: Anand Ghanekar, M.D.,
Ph.D., Toronto General Hospital, CSB 11C-1227,
University Health Network, 585 University Ave-
nue, Toronto, ON, Canada M5G 2N2.
E-mail: anand.ghanekar@uhn.on.ca
All authors contributed to the care of the patient
described in this report. A.G. prepared the
manuscript, and R.M.R. and W.S.B. edited the
manuscript.
Received 6 August 2010.
Accepted 19 August 2010.
Copyright © 2010 by Lippincott Williams &
Wilkins
ISSN 0041-1337/10/9010-1135
DOI: 10.1097/TP.0b013e3181f8692f
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2. Toppin PJ, Chandy TT, Ghanekar A, et al. A
report of fulminant malignant hyperthermia
in a patient with a novel mutation of the
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4. Larach MG, Gronert GA, Allen GC, et al. Clin-
ical presentation, treatment, and complica-
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Energy Expenditure During a Day of Sport Competitions in Kidney
Transplant Recipients
Kidney transplant recipients show
a reduction in maximal exercise capacity
and cardiorespiratory fitness that may
be counteracted by physical and sport-
ing activities (1). However, not all pa-
tients increase their physical activity
after transplant, and kidney transplant
recipients show a continuum of differ-
ent attitudes: on one hand, patients may
stay inactive because of fears of injuring
the transplant graft or simple lack of
motivation, whereas other patients may
restart (or begin) strenuous sporting ac-
tivities. This spectrum of attitudes may
be influenced by a lack of counseling
from transplant professionals and com-
munity nephrologists about the benefits
of exercise or by those providers who
may themselves fear the risk of cardiac
complications from exercise (2).
The overall population of kidney
transplant recipients is heterogeneous,
suggesting that tailored exercises regi-
mens are needed to ensure patient safety
(2), but to make effective exercise train-
ing recommendations without being
overly cautious, it is helpful to know the
upper limits of human performance also
in kidney transplant recipients.
Since the foundation of the Trans-
plant Games in 1978 (3), participation in
competitions for transplant recipients at
international, national, and local levels
1136 | www.transplantjournal.com Transplantation • Volume 90, Number 10, November 27, 2010