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Bull Soc Sci Med Grand Duche Luxemb · Jan 2014
Case ReportsCase report: exertional heat stroke after moderate effort as a neurological emergency.
- F M Huber and H Neuray.
- Bull Soc Sci Med Grand Duche Luxemb. 2014 Jan 1(1):67-70.
AbstractExertional heat stroke can occur even after moderate efforts in persons predisposed to the condition. Consequences can be far-reaching, potentially leading to multi-organ failure and possibly death. We discuss the case of a 23-year old army recruit presenting with altered consciousness and hyperthermia after a training march. Following initial clinical improvement, rising CK and liver enzyme levels as well as increasing INR were recorded. Facing the risk of multi-organ failure, the patient was transferred to a specialized ICU. The condition could be stabilized without recurring to molecular adsorbent recirculation system (MARS). Exertional heat stroke must be readily recognized as such for correct treatment to be initiated. A multi-disciplinary approach is urgently warranted.
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