Exertional heat stroke with pronounced presentation of microangiopathic hemolytic anemia: A case report.

IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING World journal of radiology Pub Date : 2024-10-28 DOI:10.4329/wjr.v16.i10.545
Chu-Han Xiang, Xi-Mu Zhang, Jie Liu, Jun Xiang, Lei Li, Qing Song
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Abstract

Background: Exertional heat stroke (EHS) is a critical condition arising from prolonged physical exertion in high temperatures that typically presents with normal hemoglobin levels. However, atypical presentations can also occur, leading to significant complications such as hemolytic anemia and organ dysfunction.

Case summary: This case report describes a male patient who experienced moderate-to-severe anemia that was difficult to correct, with a confirmed diagnosis of microangiopathic hemolytic anemia accompanying multiple organ dysfunction syndrome, indicative of critical EHS. Despite intensive resuscitation efforts, the patient's condition deteriorated, necessitating admission to the intensive care unit for advanced management.

Conclusion: This case highlights the importance of recognizing atypical presentations of EHS, particularly that with significant hemolytic anemia and concurrent organ failure. Clinicians should maintain a high level of suspicion for these complications in patients displaying symptoms of heat-related illness, especially when caused by strenuous activity, as early diagnosis and intervention are crucial to improve patient outcomes.

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劳累性中暑伴有明显的微血管病性溶血性贫血:病例报告。
背景:劳累性中暑(EHS)是一种因在高温下长时间体力消耗而引起的危重症,通常表现为血红蛋白水平正常。病例摘要:本病例报告描述了一名男性患者出现难以纠正的中重度贫血,经确诊为微血管病性溶血性贫血,并伴有多器官功能障碍综合征,提示为危重的 EHS。尽管进行了全力抢救,但患者的病情仍不断恶化,不得不入住重症监护室接受进一步治疗:本病例强调了识别 EHS 非典型表现的重要性,尤其是伴有严重溶血性贫血和并发器官衰竭的病例。临床医生应高度怀疑有热相关疾病症状的患者会出现这些并发症,尤其是在剧烈运动的情况下,因为早期诊断和干预对改善患者预后至关重要。
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来源期刊
World journal of radiology
World journal of radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
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8.00%
发文量
35
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