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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.
Asian Journal of Sports Medicine
Sports Medicine Research Center, TUMS
Late Care in Marathon Runs Leading to Exertional Heat Stroke with Multiple Organ Failure
Author(s):
Mohammed Asserraji1,*, 
Ibrahim Benameur 2, Omar Maoujoud1, Abdennasser El Kharras3, Hicham Hajbi4, Karim Filali41Dialysis Unit, First MedicoSurgical Hospital. Etat Major Zone Sud, Agadir, Morocco
2Emergency Unit, First MedicoSurgical Hospital. Etat Major Zone Sud, Agadir, Morocco
3Radiology Unit, First MedicoSurgical Hospital. Etat Major Zone Sud, Agadir, Morocco
4Intensive Care Unit, First Medico-Surgical Hospital. Etat Major Zone Sud, Agadir, Morocco
Published online:Dec 11, 2013
Article type:Case Report
Received:Aug 24, 2013
Accepted:Nov 02, 2013
How to Cite:Mohammed AsserrajiIbrahim Benameur Omar MaoujoudAbdennasser El KharrasHicham HajbiKarim Filaliet al.Late Care in Marathon Runs Leading to Exertional Heat Stroke with Multiple Organ Failure.Asian J Sports Med.5(2):23031.
Abstract
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.
Copyright
© 2013, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
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