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

作　　者：Chu-Han Xiang Xi-Mu Zhang Jie Liu Jun Xiang Lei Li Qing Song 

机构地区：[1]Department of Cardiology,The Affiliated Huaihai Hospital of Xuzhou Medical University,Xuzhou 221000,Jiangsu Province,China [2]Department of Cardiology,The 71st Group Army Hospital of CPLA Army,Xuzhou 221000,Jiangsu Province,China [3]Department of Critical Care Medicine,Hainan Hospital of Chinese PLA General Hospital,Sanya 572000,Hainan Province,China [4]Department of Emergency,Changhai Hospital,Naval Medical University,Shanghai 200433,China [5]Department of Emergency,The Second Naval Hospital of Southern Theater Command of The People’s Liberation Army,Sanya 572022,Hainan Province,China [6]Department of Critical Care Medicine,Chinese PLA General Hospital,Beijing 100853,China

出　　处：《World Journal of Radiology》2024年第10期545-551,共7页世界放射学杂志（英文）

摘　　要：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.

关 键 词：Exertional heatstroke Hemolytic anemia Microangiopathic hemolytic anemia Multiple organ dysfunction Intensive care unit Case report 

分 类 号：R556[医药卫生—血液循环系统疾病]