Abstract
HEAT STROKE, if it occurs following strenuous exercise, particularly in unacclimatized individuals, may be complicated by rhabdomyolysis and hypocalcemia.<sup>1</sup>Under these circumstances, serum phosphorus levels have often been elevated. We report a patient in whom heat stroke and myoglobinuria in the absence of renal failure were associated with substantial hypocalcemia and hypophosphatemia. <h3>Report of a Case</h3> In July 1974, a 51-year-old woman was hospitalized after she was found in a stuporous state. During the previous six days, the maximum ambient temperatures had been from 32 to 37 C, with high relative humidity. Two days before admission, the patient had seen her doctor for nonspecific body pains; he prescribed propoxyphene hydrochloride (Darvon), a combination of butalbital, caffeine, aspirin, and phenacetin (Fiorinal), and a meprobamate and benactyzine hydrochloride combination (Deprol). She habitually took cyanocobalamin and prochlorperazine (Compazine), and one tablet of a combination of secobarbital sodium and amobarbital sodium (Tuinal) before
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