Acute Liver Failure in Patients with Classic Heat Stroke

  • Jeremy J. Hernández-Ríos Faculty of Medicine, Autonomous University of Baja California, Mexicali, B.C., México. General Hospital of Mexicali, Mexicali, B.C., México
  • Fátima María Martínez-González Faculty of Medicine, Autonomous University of Baja California, Mexicali, B.C., México. General Hospital of Mexicali, Mexicali, B.C., México
  • Luz A. Gutiérrez-Bañales General Hospital of Mexicali, Mexicali, B.C., México
  • J. Andrés Beltrán-López Centre of University Studies of Xochicalco, Mexicali, B.C., México. General Hospital of Mexicali, Mexicali, B.C., México
  • Hiram J. Jaramillo-Ramírez General Hospital of Mexicali, Mexicali, B.C., México.
Keywords: Heart stroke, Liver failure, Mortality

Abstract

Background: Classic heat stroke is defined by a core temperature greater than 40° C, severe dehydration and neurological alterations. Patients with liver disease due to heat stroke have been described, mostly by exercise. Hepatic failure is defined as the presence of a coagulopathy accompanied by any degree of hepatic encephalopathy. The primary objective of the study lies in the fact that patients who developed acute liver failure during their hospital stay had a higher risk of mortality.

Methods: A retrospective, analytical study of patients admitted to the General Hospital of Mexicali who suffered from classic heat stroke from March 2006 through August 2010, and a second period from June 2018 to August 2019.

Results: Fifty patients were recruited, the group included 48 (96%) male, with a total of 10 fatalities, representing 20%. INR greater than 1.5, AST and ALT levels were not related to an increased mortality rate.

Conclusion: Neither transaminase levels, nor liver failure, were related to a higher mortality rate in this cohort of patients with classic heat stroke.

Author Biographies

Jeremy J. Hernández-Ríos, Faculty of Medicine, Autonomous University of Baja California, Mexicali, B.C., México. General Hospital of Mexicali, Mexicali, B.C., México

Medical Student (7th year)

Fátima María Martínez-González, Faculty of Medicine, Autonomous University of Baja California, Mexicali, B.C., México. General Hospital of Mexicali, Mexicali, B.C., México

Medical Student (7th year)

Luz A. Gutiérrez-Bañales, General Hospital of Mexicali, Mexicali, B.C., México

MD, General Practitioner.

J. Andrés Beltrán-López, Centre of University Studies of Xochicalco, Mexicali, B.C., México. General Hospital of Mexicali, Mexicali, B.C., México

Medical Student (6th year).

Hiram J. Jaramillo-Ramírez, General Hospital of Mexicali, Mexicali, B.C., México.

MD, Internal Medicine.

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Published
2020-08-31
How to Cite
Hernández-Ríos, J. J., Martínez-González, F. M., Gutiérrez-Bañales, L. A., Beltrán-López, J. A., & Jaramillo-Ramírez, H. J. (2020). Acute Liver Failure in Patients with Classic Heat Stroke. International Journal of Medical Students, 8(2), 111-113. https://doi.org/10.5195/ijms.2020.442
Section
Short Communication