Evidence map›Paper›PMID 41272441›Full record

ArticleInternational journal of emergency medicine2025

Exertional heat stroke with multiorgan dysfunction in a community sports event: case report and one-month follow-up.

Ninh Xuan Nguyen, Ngoc Tien Pham, Huong Thi Thanh Le, Quoc Viet Tran, Hang Ngoc Thuy Tran, Thi Kim Thanh Vo, Phong Van Phan

Abstract read
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Article in International journal of emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Ninh Xuan NguyenEmergency Department, Vinmec Central Park International Hospital, Vinmec Healthcare System, Ho Chi Minh City, Vietnam. v.ninhnx@vinmec.com.
Ngoc Tien PhamEmergency Department, Vinmec Central Park International Hospital, Vinmec Healthcare System, Ho Chi Minh City, Vietnam.
Huong Thi Thanh LeEmergency Department, Vinmec Central Park International Hospital, Vinmec Healthcare System, Ho Chi Minh City, Vietnam.
Quoc Viet TranEmergency Department, Vinmec Central Park International Hospital, Vinmec Healthcare System, Ho Chi Minh City, Vietnam.
Hang Ngoc Thuy TranEmergency Department, Vinmec Central Park International Hospital, Vinmec Healthcare System, Ho Chi Minh City, Vietnam.
Thi Kim Thanh VoEmergency Department, Vinmec Central Park International Hospital, Vinmec Healthcare System, Ho Chi Minh City, Vietnam.
Phong Van PhanIntensive Care Unit, Vinmec Central Park International Hospital, Vinmec Healthcare System, Ho Chi Minh City, Vietnam.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExertional heat stroke (EHS) is a life-threatening emergency characterized by central nervous system (CNS) dysfunction with hyperthermia and frequent multiorgan injury. Although outcomes have improved with rapid on-site cooling in elite sports and military contexts, data from community sporting events in low- and middle-income countries (LMICs) remain scarce. CASE PRESENTATION: We report a 30-year-old previously healthy Vietnamese male who collapsed during a 5-km community run. He presented with encephalopathy, generalized seizure, metabolic acidosis, acute kidney injury (AKI) (creatinine 149 µmol/L, estimated glomerular filtration rate (eGFR) 53), rhabdomyolysis (creatine kinase (CK) 3745 U/L), and myocardial injury (high-sensitivity troponin I (hs-troponin I) peak 3.87 ng/mL). The electrocardiogram (ECG) showed incomplete right bundle branch block with minor ectopy, while echocardiography revealed preserved systolic function. With rapid cooling and supportive care, renal, muscular, and cardiac abnormalities resolved. At one-month follow-up, hs-troponin I and CK had normalized (0.0016 ng/mL; 155 U/L), creatinine was 81 µmol/L, and ECG was normal, confirming full clinical recovery.

conclusionThis case illustrates EHS with multiorgan dysfunction successfully managed at a community sporting event in Vietnam. The comprehensive one-month biomarker and cardiac follow-up highlights the potential for full recovery, while emphasizing the need for cost-effective emergency preparedness-including trained staff and rapid cooling strategies-in LMIC community events.

Indexed as

Cardiac injuryEmergency preparednessExertional heat strokeLow- and middle-income countriesMultiorgan dysfunctionRhabdomyolysis

Identifiers

PMID41272441
PMCPMC12777464

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.