CORNELIUS J. CORNELL JR., M.D.; SEYMOUR H. FEIN, B.A.; BRENDON REILLY, M.D.; GIBBONS G. CORNWELL III, M.D., F.A.C.P.
To the editor: The role of disseminated intravascular coagulation and the fibrinolytic mechanism in heat stroke has been controversial (1-3). We recently observed a 17-year-old male with heat stroke who manifested disseminated intravascular coagulation and recovered after heparin therapy.
Our patient was admitted to the hospital having collapsed after several hours of football practice on a hot, humid August evening. He was unresponsive, with a blood pressure of 100/40 mm Hg, pulse of 160, and rectal temperature of 41.1 °C. The skin and mucous membranes were dry. The hematocrit was 56%, leukocyte count was 9700/mm3, and platelets were present in
CORNELL CJ, FEIN SH, REILLY B, CORNWELL GG. Heparin Therapy for Heat Stroke. Ann Intern Med. ;81:702–703. doi: 10.7326/0003-4819-81-5-702_2
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Published: Ann Intern Med. 1974;81(5):702-703.
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