Lin Jessica S, Zaffar Duha, Muhammad Haris, Ting Peng-Sheng, Woreta Tinsay, Kim Amy, Kohli Ruhail, Oshima Kiyoko, Cameron Andrew, Philosophe Benjamin, Ottmann Shane, Wesson Russell, Gurakar Ahmet
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Division of Gastroenterology and Hepatology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
ACG Case Rep J. 2022 Jul 12;9(7):e00820. doi: 10.14309/crj.0000000000000820. eCollection 2022 Jul.
Exertional heat stroke is a medical emergency characterized by excessive heat production and inadequate heat dissipation usually after heavy exertion in hot and humid climates and can be associated with multiorgan failure. Treatment is largely supportive, but liver transplantation (LT) may be necessary in select patients. Here, we report the case of a 44-year-old runner who was found unconscious after a 5-mile run and developed acute liver failure. He underwent successful LT 1 week later when he developed encephalopathy. This case report illustrates the importance of early LT referral in patients with exertional heat stroke-induced acute liver failure.
劳力性热射病是一种医疗急症，其特征为产热过多和散热不足，通常发生在炎热潮湿气候下的剧烈运动之后，且可能与多器官功能衰竭相关。治疗主要是支持性的，但在特定患者中可能需要进行肝移植（LT）。在此，我们报告一例44岁跑步者的病例，该患者在进行5英里跑步后被发现昏迷，并发展为急性肝衰竭。1周后当他出现脑病时，接受了成功的肝移植手术。本病例报告说明了对于劳力性热射病诱发急性肝衰竭患者早期转诊进行肝移植的重要性。
