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Severe heat stroke with multiorgan failure following collapse in a sauna

McIver, William Jack
Zia, Muhammad
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2025-01-07
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Abstract
Heat stroke is characterised by hyperthermia and acute encephalopathy. We describe a rare case of classical heat stroke secondary to prolonged sauna use with multiorgan sequelae including seizures, liver injury, kidney injury, disseminated intravascular coagulation, rhabdomyolysis and type 2 myocardial infarction. The patient was treated with external cooling, intravenous fluid therapy and blood products, and made a full recovery without need for advanced organ support. We discuss the evidence base surrounding the immediate treatment of heat stroke in the emergency department.
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McIver WJ, Zia M. Severe heat stroke with multiorgan failure following collapse in a sauna. BMJ Case Rep. 2025 Jan 7;18(1):e262069. doi: 10.1136/bcr-2024-262069.
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