Clinico-pathological evaluation of Heat Stroke induced Disseminated Intravascular Coagulation

We report a case of a 57-year-old man who presented with haemostatic disturbance due to exertion induced heat stroke while running a marathon competition. His haemostatic disturbances were diagnosed as severe disseminated intravascular coagulation (DIC). Appropriate supportive component transfusions were given, guided by rotational thromboelastometry (ROTEM) test. He died eventually due to respiratory arrest and multiorgan failure. The cause of death was ascertained as death due to heat stroke based on clinical history as well as characteristic pathophysiological features.