Exertional heat stroke: the runner's nemesis

Heat stroke in distance runners is increasing in frequency. A case is reported of a 41-year-old man who collapsed during a 10-km "fun run" held when the temperature was 31.6 degrees C and the humidity 80%. Acute renal failure (serum creatinine level 1530 mumol/l [17.3 mg/dl]), rhabdomyolys...

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Bibliographic Details
Published in:	Canadian Medical Association journal Vol. 122; no. 10; pp. 1144 - 1150
Main Authors:	Hart, L. E, Egier, B. P, Shimizu, A. G, Tandan, P. J, Sutton, J. R
Format:	Journal Article
Language:	English
Published:	Canada Can Med Assoc 24-05-1980
Subjects:	Acute Kidney Injury - etiology Adult Athletic Injuries - complications Athletic Injuries - physiopathology Blood Chemical Analysis Body Temperature Disseminated Intravascular Coagulation - etiology Heart Diseases - etiology Heat Exhaustion - complications Heat Exhaustion - physiopathology Heat Exhaustion - therapy Humans Liver Diseases - etiology Male Myoglobinuria - etiology Neurologic Manifestations Running
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Summary:	Heat stroke in distance runners is increasing in frequency. A case is reported of a 41-year-old man who collapsed during a 10-km "fun run" held when the temperature was 31.6 degrees C and the humidity 80%. Acute renal failure (serum creatinine level 1530 mumol/l [17.3 mg/dl]), rhabdomyolysis, disseminated intravascular coagulation and hepatic damage complicated the clinical picture. Repeated peritoneal dialysis and one cycle of hemodialysis because of a very high serum level of uric acid (1.23 mmol/l [20.7 mg/dl]) were required. Although the illness was prolonged, recovery was almost complete, and 4 months after the man's collapse the serum creatinine level had fallen to 133 mumol/l (1.5 mg/dl).
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0008-4409