TY - JOUR PY - 1980// TI - Exertional heat stroke: the runner's nemesis JO - Canadian Medical Association journal A1 - Hart, L. E. A1 - Egier, B. P. A1 - Shimizu, A. G. A1 - Tandan, P. J. A1 - Sutton, J. R. SP - 1144 EP - 1150 VL - 122 IS - 10 N2 - Heat stroke in distance runners is increasing in frequency. A case is reported of a 41-year-old man who collapsed during a 10-km "fun run" held when the temperature was 31.6 degrees C and the humidity 80%. Acute renal failure (serum creatinine level 1530 mumol/l [17.3 mg/dl]), rhabdomyolysis, disseminated intravascular coagulation and hepatic damage complicated the clinical picture. Repeated peritoneal dialysis and one cycle of hemodialysis because of a very high serum level of uric acid (1.23 mmol/l [20.7 mg/dl]) were required. Although the illness was prolonged, recovery was almost complete, and 4 months after the man's collapse the serum creatinine level had fallen to 133 mumol/l (1.5 mg/dl).

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