A case of exertional heat stroke with multiple organ failure after long distance race

Exertional heat stroke developed in a 29-year-old man who ran a long distance race (10 kilometers) in cold weather. Multiple organ failure including acute renal failure, hepatic failure, pancreatitis and disseminated intravascular coagulation occurred on the fifth hospital day. Hemodialysis and plas...

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Veröffentlicht in:Journal of Japanese Society for Dialysis Therapy 1992/11/28, Vol.25(11), pp.1261-1265
Hauptverfasser: Ouchi, Satohiro, Igarashi, Tohru, Matsubaysi, Kiyoshi, Satoh, Kiyotaka
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container_end_page 1265
container_issue 11
container_start_page 1261
container_title Journal of Japanese Society for Dialysis Therapy
container_volume 25
creator Ouchi, Satohiro
Igarashi, Tohru
Matsubaysi, Kiyoshi
Satoh, Kiyotaka
description Exertional heat stroke developed in a 29-year-old man who ran a long distance race (10 kilometers) in cold weather. Multiple organ failure including acute renal failure, hepatic failure, pancreatitis and disseminated intravascular coagulation occurred on the fifth hospital day. Hemodialysis and plasmapheresis with the administration of nafamostat mesilate as well as AT-III resulted in improvement of multiple organ failure. The renal biopsy specimen obtained during the recovery stage revealed residual evidence of acute tubular necrosis. This case indicates the usefulness of hemodialysis and plasmapheresis as a treatment for multiple organ failure induced by exertion al heat stroke.
doi_str_mv 10.4009/jsdt1985.25.1261
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title A case of exertional heat stroke with multiple organ failure after long distance race
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