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Liver failure occurring as a component of exertional heatstroke.

Abstract
An unusual case of an exertional heatstroke in a healthy 25-year-old man is presented. Initially, the patient was deeply comatose and developed severe rhabdomyolysis and massive hepatic necrosis. Subsequently, he received a liver transplant with remarkable improvement in his mental status, although the rhabdomyolysis continued. The patient died 41 days after the transplant due to a complicating infection. Providing that infections can be effectively controlled, liver transplants might be a promising therapeutic alternative for the few patients who survive the initial neurological consequences of this unusual event.
AuthorsT Hassanein, J A Perper, L Tepperman, T E Starzl, D H Van Thiel
JournalGastroenterology (Gastroenterology) Vol. 100 Issue 5 Pt 1 Pg. 1442-7 (May 1991) ISSN: 0016-5085 [Print] United States
PMID2013389 (Publication Type: Case Reports, Journal Article)
Topics
  • Adult
  • Heat Exhaustion (complications, surgery)
  • Hepatic Encephalopathy (etiology, pathology, surgery)
  • Humans
  • Liver (pathology)
  • Liver Transplantation
  • Male
  • Muscles (pathology)
  • Physical Exertion
  • Rhabdomyolysis (etiology)
  • Sepsis (etiology)

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