J Korean Soc Emerg Med.  2000 Sep;11(3):390-396.

A Case of Heat Stroke after a Marathon

• Kang BS
• Lee JH
• Song HK
• Song KJ
• Jeong YK

Abstract

Heat stroke, a medical emergency, occurs when the body's thermal regulation is upset and unable to dissipate adequate amounts of heat with a rise in body temperature. It is characterized by hyperyrexia, with a core temperature of 40degrees C or more, hot dry skin, and central nervous system disturbance and usually results in rhabdomyolysis and multiorgan failure. Our case, a 43-year-old healthy male, was caused by a marathon, half course, on a sunny day in late summer. He suddenly fell down on the road and was delivered to a nearby hospital, where a seizure developed. He was transfered to our hospital and then displayed Central Nervous System disturbance, hot dry skin, acute liver failure, rhabdomyolysis, anuric acute renal failure, and disseminated intravasculular coagulopathy. He was treated with general supportive care and hemofiltration. Despite the aggressive management, he died of shock on the fifth day after admission.

MeSH Terms

Acute Kidney Injury
Adult
Body Temperature
Central Nervous System
Emergencies
Heat Stroke*
Hemofiltration
Hot Temperature*
Humans
Liver Failure, Acute
Male
Rhabdomyolysis
Seizures
Shock
Skin