Clinico-pathological evaluation of Heat Stroke induced Disseminated Intravascular Coagulation | Zendy

B Jayaratne | Zendy; Sarathkumara L. H. Uththara | Zendy

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Clinico-pathological evaluation of Heat Stroke induced Disseminated Intravascular Coagulation

Author(s) -

B Jayaratne,

Sarathkumara L. H. Uththara

Publication year - 2018

Publication title -

medico-legal journal of sri lanka

Language(s) - English

Resource type - Journals

ISSN - 2012-5887

DOI - 10.4038/mljsl.v6i2.7378

Subject(s) - disseminated intravascular coagulation , thromboelastometry , medicine , stroke (engine) , heat exhaustion , intensive care medicine , pathological , exertion , cardiology , coagulation , emergency medicine , poison control , mechanical engineering , engineering

We report a case of a 57-year-old man who presented with haemostatic disturbance due to exertion induced heat stroke while running a marathon competition. His haemostatic disturbances were diagnosed as severe disseminated intravascular coagulation (DIC). Appropriate supportive component transfusions were given, guided by rotational thromboelastometry (ROTEM) test. He died eventually due to respiratory arrest and multiorgan failure. The cause of death was ascertained as death due to heat stroke based on clinical history as well as characteristic pathophysiological features.

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