Silent Scorcher: A Case of Heat Stroke Fatality-Case Report

Authors

  • Arjun Rajeev Government Medical College, Kozhikode, Kerala, India
  • Sujith Sreenivas C Government Medical College, Kozhikode, Kerala, India

DOI:

https://doi.org/10.37506/jjj3yy17

Keywords:

Heat stroke, hyperthermia, rhabdomyolysis, acute kidney injury.

Abstract

Background: Heat stroke is a life-threatening condition resulting from prolonged exposure to high temperatures,
often exacerbated by physical exertion and inadequate hydration. Despite being preventable, it can lead to
fatal outcomes if not promptly identified and treated. This case study highlights a fatal instance of heat stroke to
emphasize its clinical manifestations, risk factors, and forensic importance.
Case Presentation: A 65-year-old male was found unresponsive after prolonged outdoor activity in extreme
heat. Initial assessment revealed hyperthermia, altered mental status, and multi-organ dysfunction. Despite aggressive
cooling measures and critical care interventions, the patient succumbed to complications arising from
heatstroke, including rhabdomyolysis and acute kidney injury. The autopsy confirmed findings consistent with
severe hyperthermia-induced organ damage.
Discussion: This case underscores the importance of early recognition and immediate management of heat
stroke. Key contributing factors, such as environmental conditions, individual susceptibility, and delayed medical
attention, are explored. The study also highlights the need for public awareness, preventive strategies, timely
interventions to reduce the incidence of heat-related fatalities and diagnostic aspects in forensic.
Conclusion: Heat stroke remains a silent yet significant public health concern, particularly in regions experiencing
rising temperatures. This case serves as a critical reminder of the deadly consequences of heat exposure and
the urgent need for preventive action and how to diagnose such a case.

Author Biographies

  • Arjun Rajeev, Government Medical College, Kozhikode, Kerala, India

    Junior Resident Medical Officer, Government Medical College, Kozhikode, Kerala, India

  • Sujith Sreenivas C, Government Medical College, Kozhikode, Kerala, India

    Professor and Police Surgeon, Department of Forensic Medicine and Toxicology, Government Medical College, Kozhikode, Kerala, India

References

Amundson DE. The Spectrum of Heat Related Injury with

Compartment Syndrome. Military Medicine. 1989 Sep

1;154(9):450–2.

2. Bouchama A, Knochel JP. Heat Stroke. New England Journal

of Medicine. 2002 Jun 20;346(25):1978–88.

3. Cheshire WP. Thermoregulatory disorders and illness

related to heat and cold stress. Autonomic Neuroscience

[Internet]. 2016 Apr;196(196):91–104. Available from:

https://www.sciencedirect.com/science/article/pii/

S1566070216300017

4. Greenwald MH, Dorfman DH. Life-threatening illness

with elevated temperature. Clinical Pediatric Emergency

Medicine. 2000 Mar;1(2):150–6.

5. Horseman MA, Rather-Conally J, Saavedra C, Surani S. A

Case of Severe Heatstroke and Review of Pathophysiology,

Clinical Presentation, and Treatment. Journal of Intensive

Care Medicine. 2012 Jan 9;28(6):334–40.

6. Jardine DS. Heat Illness and Heat Stroke. Pediatrics in Review.

2007 Jul 1;28(7):249–58.

7. Mirnawati, Nurnaningsih, Asriani R, I Amirullah, Ramadhan

Tosepu. Risk of Heat Stroke due to Extreme Heat

Changes: A Review. IOP Conference Series Earth and Environmental

Science. 2021 Apr 1;755(1):012082–2.

8. Ubaldo OGV, Quiwa K, Rollan RE, Tripon E, Sebastian E.

The Fire from Within: Multiorgan Failure with Bimodal

Rhabdomyolysis from Exertional Heat Stroke. Case Reports

in Hepatology. 2020 Feb 7; 2020:1–7.

9. Yaqub B, Al Deeb S. Heat strokes: aetiopathogenesis,

neurological character- istics, treatment and outcome.

Journal of the Neurological Sciences. 1998 Apr;156(2):

144–51.

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Published

2025-04-17

How to Cite

Silent Scorcher: A Case of Heat Stroke Fatality-Case Report. (2025). Medico Legal Update, 25(2), 1-5. https://doi.org/10.37506/jjj3yy17