Bowel Ischemia from Heat Stroke: A Rare Presentation of an Uncommon Complication
A healthy 27-year-old female presented to the hospital after she collapsed an hour into her first marathon run on a hot humid day. On presentation, she was hyperthermic, encephalopathic, tachycardic, and hypotensive. On admission, she was found to have lactic acidosis, rhabdomyolysis, and acute kidn...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/5217690 |
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| author | Umair Masood Anuj Sharma Wajihuddin Syed Divey Manocha |
| author_facet | Umair Masood Anuj Sharma Wajihuddin Syed Divey Manocha |
| author_sort | Umair Masood |
| collection | DOAJ |
| description | A healthy 27-year-old female presented to the hospital after she collapsed an hour into her first marathon run on a hot humid day. On presentation, she was hyperthermic, encephalopathic, tachycardic, and hypotensive. On admission, she was found to have lactic acidosis, rhabdomyolysis, and acute kidney injury and was treated with cold normal saline and cooling blankets. She subsequently started having abdominal pain and bloody bowel movements. Computed tomography of the abdomen revealed ascending colon thickening. Furthermore, her lab findings showed transaminitis and elevated coagulation parameters. Due to the acute hypotensive state from the heat stroke, patient had developed bowel ischemia, ischemic hepatitis, and disseminated intravascular coagulation, all of which are uncommon complications of heat stroke. She was managed aggressively with intravenous fluid hydration with resolution of her symptoms over the course of 4 days. In addition to the uncommon complications, early presentation of this bowel ischemia despite adequate hydration in such a healthy individual is another unique aspect of the case. |
| format | Article |
| id | doaj-art-b4870a37eb4a43ca8c69da5075c04da6 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-b4870a37eb4a43ca8c69da5075c04da62025-08-20T03:39:22ZengWileyCase Reports in Medicine1687-96271687-96352016-01-01201610.1155/2016/52176905217690Bowel Ischemia from Heat Stroke: A Rare Presentation of an Uncommon ComplicationUmair Masood0Anuj Sharma1Wajihuddin Syed2Divey Manocha3Department of Internal Medicine, SUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USADepartment of Internal Medicine, SUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USADepartment of Internal Medicine, SUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USADepartment of Gastroenterology, SUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USAA healthy 27-year-old female presented to the hospital after she collapsed an hour into her first marathon run on a hot humid day. On presentation, she was hyperthermic, encephalopathic, tachycardic, and hypotensive. On admission, she was found to have lactic acidosis, rhabdomyolysis, and acute kidney injury and was treated with cold normal saline and cooling blankets. She subsequently started having abdominal pain and bloody bowel movements. Computed tomography of the abdomen revealed ascending colon thickening. Furthermore, her lab findings showed transaminitis and elevated coagulation parameters. Due to the acute hypotensive state from the heat stroke, patient had developed bowel ischemia, ischemic hepatitis, and disseminated intravascular coagulation, all of which are uncommon complications of heat stroke. She was managed aggressively with intravenous fluid hydration with resolution of her symptoms over the course of 4 days. In addition to the uncommon complications, early presentation of this bowel ischemia despite adequate hydration in such a healthy individual is another unique aspect of the case.http://dx.doi.org/10.1155/2016/5217690 |
| spellingShingle | Umair Masood Anuj Sharma Wajihuddin Syed Divey Manocha Bowel Ischemia from Heat Stroke: A Rare Presentation of an Uncommon Complication Case Reports in Medicine |
| title | Bowel Ischemia from Heat Stroke: A Rare Presentation of an Uncommon Complication |
| title_full | Bowel Ischemia from Heat Stroke: A Rare Presentation of an Uncommon Complication |
| title_fullStr | Bowel Ischemia from Heat Stroke: A Rare Presentation of an Uncommon Complication |
| title_full_unstemmed | Bowel Ischemia from Heat Stroke: A Rare Presentation of an Uncommon Complication |
| title_short | Bowel Ischemia from Heat Stroke: A Rare Presentation of an Uncommon Complication |
| title_sort | bowel ischemia from heat stroke a rare presentation of an uncommon complication |
| url | http://dx.doi.org/10.1155/2016/5217690 |
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