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Heatstroke Caused by Dehydration and Physical Effort

Ezra Sohar, MD; Dan Michaeli, MD; Uzi Waks, MD; Shlomo Shibolet, MD
Arch Intern Med. 1968;122(2):159-161. doi:10.1001/archinte.1968.00300070063012.
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The concept of heatstroke and the mechanism of its development are in need of further clarification. To this end we are reporting the case of a patient whose clinical picture was that of classical heatstroke but who manifested features generally considered atypical of this condition. He became ill after a short exercise in mild weather, and he continued to perspire during the acute illness. Vigorous treatment including dialysis resulted in recovery.

Patient Summary  A 19-year-old farmer was participating for the last three months in a physical training course demanding severe effort. In the last three days he had bloodless diarrhea, not accompanied by fever. He did not report sick, but decreased drastically food and fluid intake believing this to be a remedy.On May 28th, at 7 AM, his team set out for a 8-km run. Even though his diarrhea was now arrested, the patient decided not to take any


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