PT  - JOURNAL ARTICLE
AU  - L. E. Hart
AU  - B. P. Egier
AU  - A. G. Shimizu
AU  - P. J. Tandan
AU  - J. R. Sutton
TI  - Exertional heat stroke: the runner's nemesis
DP  - 1980 May 24
TA  - Canadian Medical Association Journal
PG  - 1144--1150
VI  - 122
IP  - 10
4099  - http://www.cmaj.ca/content/122/10/1144.short
4100  - http://www.cmaj.ca/content/122/10/1144.full
SO  - CMAJ1980 May 24; 122
AB  - 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).