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dc.contributor.authorAzzopardi, Neville-
dc.contributor.authorChetcuti, Stephania-
dc.contributor.authorSant, Jessica-
dc.contributor.authorPocock, James-
dc.date.accessioned2019-08-27T07:48:47Z-
dc.date.available2019-08-27T07:48:47Z-
dc.date.issued2012-
dc.identifier.citationAzzopardi, N., Chetcuti, S., Sant, J., & Pocock, J. (2012). Acute liver impairment in a young, healthy athlete: hypoxic hepatitis and rhabdomyolysis following heat stroke. Case reports in gastroenterology, 6(2), 563-568.en_GB
dc.identifier.urihttps://www.um.edu.mt/library/oar/handle/123456789/45946-
dc.description.abstractAny process that substantially diminishes arterial blood flow or arterial oxygen content to the liver can result in hypoxic (ischaemic) hepatitis. 90% of hypoxic hepatitis occurs in unstable patients in intensive care units with haemodynamic failure secondary to heart failure, respiratory failure and toxic shock. The rate of in-hospital mortality in hypoxic hepatitis is very high with studies recording mortalities of 61.5%. It tends to be very uncommon in healthy, young patients with no underlying medical problems. We report here the case of a young healthy athlete who developed heat stroke associated with rhabdomyolysis and hypoxic hepatitis while he was running the final stages of a marathon. The patient required intensive care admission and inotropic support for a few hours after he was admitted with heat stroke. He underwent a rapid recovery after he was resuscitated with fluids. N-acetyl cysteine was also given during the acute stage of the hepatitis. This case highlights an uncommon case of hypoxic hepatitis in a young, healthy patient secondary to hypotension and heat stroke. Inotropic support might have precipitated the hypoxic hepatitis in this young patient.en_GB
dc.language.isoenen_GB
dc.publisherKargeren_GB
dc.rightsinfo:eu-repo/semantics/openAccessen_GB
dc.subjectRhabdomyolysis -- Case studiesen_GB
dc.subjectHeat stroke -- Case studiesen_GB
dc.subjectArterial occlusions -- Complicationsen_GB
dc.subjectHepatitisen_GB
dc.titleAcute liver impairment in a young, healthy athlete : hypoxic hepatitis and rhabdomyolysis following heat strokeen_GB
dc.typearticleen_GB
dc.rights.holderThe copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder.en_GB
dc.description.reviewedpeer-revieweden_GB
dc.identifier.doi10.1159/000338838-
dc.publication.titleCase Reports in Gastroenterologyen_GB
Appears in Collections:Scholarly Works - FacM&SMed



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