Exertional heat stroke and acute renal failure in a young woman.

Autor: Pattison ME; Department of Nephrology, University Medical Center, Tucson, AZ 85724., Logan JL, Lee SM, Ogden DA
Jazyk: angličtina
Zdroj: American journal of kidney diseases : the official journal of the National Kidney Foundation [Am J Kidney Dis] 1988 Feb; Vol. 11 (2), pp. 184-7.
DOI: 10.1016/s0272-6386(88)80210-5
Abstrakt: Strenuous exercise leading to heat stroke is known to cause rhabdomyolysis and acute renal failure in men, but there are no reports of this environmental illness in otherwise healthy women. We report the first case of heat and exercise induced acute renal failure in a young nonacclimated adult female following intense exertion in the Grand Canyon. This individual displayed the typical clinical features of exertional heat stroke including hyperpyrexia, CNS disturbance, rhabdomyolysis, oligoanuric acute renal failure, and disseminated intravascular coagulopathy. The pathophysiology is discussed as well as sexual differences in response to heat and exercise. The specific factors that may have predisposed this young woman to heat stroke from exertion are identified.
Databáze: MEDLINE