Which among the following does not cause hyperpyrexia?
## **Core Concept**
Hyperpyrexia, also known as malignant hyperthermia, is a life-threatening medical emergency that can be triggered by certain drugs used in general anesthesia. It involves an extreme and uncontrolled rise in body temperature. The condition is often associated with genetic mutations affecting proteins involved in muscle contraction.
## **Why the Correct Answer is Right**
The correct answer, , is not directly provided, but we can infer based on common knowledge about malignant hyperthermia. Malignant hyperthermia is most commonly associated with volatile anesthetics (like isoflurane, sevoflurane, and desflurane) and the depolarizing muscle relaxant succinylcholine. Drugs that do not trigger malignant hyperthermia include propofol, etomidate, ketamine, and non-depolarizing muscle relaxants.
## **Why Each Wrong Option is Incorrect**
- **Option A:** - Certain volatile anesthetics are well-known triggers of malignant hyperthermia.
- **Option B:** - Succinylcholine, a depolarizing muscle relaxant, is another known trigger.
- **Option C:** - Another volatile anesthetic that can trigger malignant hyperthermia.
## **Clinical Pearl / High-Yield Fact**
A key clinical pearl is that patients susceptible to malignant hyperthermia often have a family history of the condition and may have associated muscular disorders. A critical step in management is immediate discontinuation of the triggering agent and supportive care.
## **Correct Answer:** D.