title: Case report: exertional heat stroke after moderate effort as a neurological emergency.
abstract: Exertional 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.
authors.forename: F M
authors.initials: FM
authors.lastname: Huber
authors.forename: H
authors.initials: H
authors.lastname: Neuray
mesh_terms: D003422:Critical Care; D018883:Heat Stroke / Q000150:complications / Q000503:physiopathology* / Q000628:therapy*; D006801:Humans; D008099:Liver / Q000201:enzymology; D008111:Liver Function Tests; D008305:Malignant Hyperthermia / Q000150:complications; D009102:Multiple Organ Failure / Q000517:prevention & control; D009462:Neurology; D005082:Physical Exertion; D055815:Young Adult