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Exertional Heat Stroke-Induced Acute Liver Failure and Liver Transplantation. 2022
Jessica S Lin, and
Duha Zaffar, and
Haris Muhammad, and
Peng-Sheng Ting, and
Tinsay Woreta, and
Amy Kim, and
Ruhail Kohli, and
Kiyoko Oshima, and
Andrew Cameron, and
Benjamin Philosophe, and
Shane Ottmann, and
Russell Wesson, and
Ahmet Gurakar
Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
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.
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