Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Oct 28, 2024; 16(10): 545-551
Published online Oct 28, 2024. doi: 10.4329/wjr.v16.i10.545
Exertional heat stroke with pronounced presentation of microangiopathic hemolytic anemia: A case report
Chu-Han Xiang, Xi-Mu Zhang, Jie Liu, Jun Xiang, Lei Li, Qing Song
Chu-Han Xiang, Jun Xiang, Department of Cardiology, The Affiliated Huaihai Hospital of Xuzhou Medical University, Xuzhou 221000, Jiangsu Province, China
Chu-Han Xiang, Jun Xiang, Department of Cardiology, The 71st Group Army Hospital of CPLA Army, Xuzhou 221000, Jiangsu Province, China
Xi-Mu Zhang, Jie Liu, Department of Critical Care Medicine, Hainan Hospital of Chinese PLA General Hospital, Sanya 572000, Hainan Province, China
Lei Li, Department of Emergency, Changhai Hospital, Naval Medical University, Shanghai 200433, China
Lei Li, Department of Emergency, The Second Naval Hospital of Southern Theater Command of The People’s Liberation Army, Sanya 572022, Hainan Province, China
Qing Song, Department of Critical Care Medicine, Chinese PLA General Hospital, Beijing 100853, China
Co-corresponding authors: Lei Li and Qing Song.
Author contributions: Xiang CH was responsible for drafting the manuscript and case description; Zhang XM conducted the data collection and provided critical revisions; Liu J was responsible for organizing references and editing the manuscript; Xiang J was responsible for offering scientific guidance and contributing to revisions; Li L was responsible for coordinating the manuscript submission; Song Q managed journal correspondence; All of the authors read and approved the final version of the manuscript to be published.
Informed consent statement: Informed consent was obtained from the patient for the publication of this case report.
Conflict-of-interest statement: All authors declare no conflict of interest in publishing the manuscript.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qing Song, PhD, Doctor, Department of Critical Care Medicine, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing 100853, China. songqing3010301@sina.com
Received: April 14, 2024
Revised: September 14, 2024
Accepted: October 8, 2024
Published online: October 28, 2024
Processing time: 196 Days and 18.2 Hours
Core Tip

Core Tip: This case report emphasizes the critical need for clinicians to recognize atypical presentations of exertional heat stroke, particularly when patients exhibit significant hemolytic anemia and multiple organ dysfunction. Early diagnosis and prompt intervention are essential to manage these complications to improve patient outcomes, especially after strenuous physical activity in high temperatures.