%0 Journal Article
%T A Case of Exertional Heat Stroke Complicated by Hypoxic Hepatitis
%A Bahmad
%A Shawki
%A Lindner
%A Gregor
%A Woitok
%A Bertram K.
%J -
%D 2020
%R https://doi.org/10.1155/2020/8724285
%X Background.Exertional heat stroke is a life-threatening condition often complicated by multiorgan failure. We hereby present a case of a 25-year-old male presenting with syncope after a 10£¿ km run in 28¡ãC outside temperature who developed acute liver failure. Case Presentation. Initial temperature was found to be 41.1¡ãC, and cooling measures were rapidly applied. He suffered from acute renal failure and rhabdomyolysis and proceeded to acute liver failure (ASAT 6100£¿U/l and ALAT 6561£¿U/l) due to hypoxic hepatitis on day 3. He did not meet criteria for emergency liver transplantation and recovered on supportive care. Conclusions. Acute liver failure due to heat stroke is a life-threatening condition with often delayed onset, which nevertheless resolves on supportive care in the majority of cases; thus, a delayed referral to transplant seems to be reasonable
%U https://www.hindawi.com/journals/criem/2020/8724285/