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Acute Renal Failure Due to Heat Injury: An Analysis of Ten Cases Associated with a High Incidence of Myoglobinuria.

Robert M. Vertel; and James P. Knochel
Ann Intern Med. 1967;66(5):1054. doi:10.7326/0003-4819-66-5-1054_2
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A cute renal failure is generally considered to be a grave complication of heat injury. Since the report in 1958 of three fatal cases of acute renal failure and "atypical heat stroke" treated at the U. S. Army Surgical Research Unit, ten additional patients have been treated at this facility for oliguric renal failure due to heat injury. Seven of these patients had classical heat stroke and recovered without serious sequelae while another patient survived acute renal failure secondary to heat exhaustion. The remaining two demonstrated a prodromic behavior disorder, unaccompanied by obvious signs of heat injury, culminating in hyperpyrexia,


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