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Late Care in Marathon Runs Leading to Exertional Heat Stroke with Multiple Organ Failure

AUTHORS

Mohammed Asserraji 1 , * , Ibrahim Benameur 2 , Omar Maoujoud 1 , Abdennasser El Kharras 3 , Hicham Hajbi 4 , Karim Filali 4

1 Dialysis Unit, First MedicoSurgical Hospital. Etat Major Zone Sud, Agadir, Morocco

2 Emergency Unit, First MedicoSurgical Hospital. Etat Major Zone Sud, Agadir, Morocco

3 Radiology Unit, First MedicoSurgical Hospital. Etat Major Zone Sud, Agadir, Morocco

4 Intensive Care Unit, First Medico-Surgical Hospital. Etat Major Zone Sud, Agadir, Morocco

How to Cite: Asserraji M , Benameur I , Maoujoud O , El Kharras A , Hajbi H , et al. Late Care in Marathon Runs Leading to Exertional Heat Stroke with Multiple Organ Failure, Asian J Sports Med. Online ahead of Print ; 5(2):23031.

ARTICLE INFORMATION

Asian Journal of Sports Medicine: 5 (2); 136-138
Published Online: December 11, 2013
Article Type: Case Report
Received: August 24, 2013
Accepted: November 2, 2013

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Abstract

Background: Exertional heat stroke (EHS) is still a main cause of death in sport. Many of EHS complications could have been prevented if EHS had been recognized and treated early and properly.

Case presentation: We report an unusual case of multiple organ failure caused by EHS due to intensive sportive activities in a hot environment with lack of primary care. A 35-year-old healthy sportive man was admitted in our hospital because of muscle aches and weakness as well as dark urine three days after a six hour marathon run (Agadir Semi-Marathon) in a very sunny day. Patient developed rhabdomyolysis, acute renal failure (ARF) requiring hemodialysis because of hyperkalimia, azotmia and severe metabolic acidosis, disseminated intravascular coagulation and acute liver failure. Unfortunately, after eight days of intensive care, the patient died from septic shock and multiple organ failure

Conclusions: This case reminds us that, despite the advancements of knowledge in the area of EHS prevention, recognition, and treatment, knowledge has not been translated into practice.

Keywords

Heat Stroke Rhabdomyolysis Acute Kidney Injury Multiple Organ Failure

© 2013, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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