Exertional heat stroke in a young healthy female runner: a case report

A healthy, well-trained female runner suffered from exertional heat stroke (EHS) after 90 minutes of running and approximately 5 km uphill in good weather conditions. She lost her consciousness, got generalized convulsions and her rectal temperature was 41,5 °C. She was intubated and cooling measures were instituted immediately using ice-cold saline solution and ice packs. Her vital functions were supported and after aggressive treatment she recovered quickly and was extubated the next day. EHS is a life-threatening condition thus prompt recognition, as well as assessment of airway, breathing, circulation and basic life support, followed immediately with cooling management are crucial for survival. It can occur in any weather, so EHS should be considered as the differential diagnosis in all collapsed athletes and rectal temperature should be checked.