Fatal heatstroke after a short march at night: A case report

A case of heatstroke is reported in a young recruit who participated in a 4-km march at night. Body temperature was not measured at the time of collapse. Hyperventilation and aggressive behavior misled to the incorrect diagnosis of hysteric reaction. Upon arrival at the Medical Center 4 h later, the patient experienced deep coma, renal failure, shock, and uncontrolled bleeding. In spite of intensive treatment, the patient died 27 h after collapse. A positive blood culture suggests the involvement of septicemia in the fulminant picture of the disease.