Case Report

Fatal Heat Stroke in a Schizophrenic Patient

Table 2


CharacteristicClassicExertional

Health conditionPredisposing factorsHealthy
AgeElderlyYounger
ConditionsHigh environmental temp Occurs sporadically
SweatingUsually absentPresent
ActivitySedentaryStrenuous
Disseminated intravascular coagulationMildMarked
Acute renal failure<5% patients25–30% patients
Lactic acidosisRareCommon
HyperuricemiaModerateSevere
HypocalcemiaRare Common
HypoglycaemiaRareCommon
HypokalemiaRareCommon
RhabdomyolysisRareCommon
CPKMildly elevatedMarked elevated
MechanismPoor dissipation of environmental heatExcessive endogenous heat production

Information from [3, 8].