‘Too much of a coincidence’: identical twins with exertional heatstroke in the same race
Open accessAbstract
This report discusses a unique case of monozygotic male twins who both collapsed with exertional heat stroke (EHS) during the same marathon in relatively cool conditions. The twins were official race pacers in a popular city marathon held in the early spring in the UK. Both recovered uneventfully due to the prompt recognition of EHS and use of aggressive cooling measures, which prevented life-threatening complications. The case illustrates that EHS is a complex illness with a possible genetic predisposition, which can occur among runners even in cooler conditions. This link is explored together with the influence of their role as race pacers and the additional backpack worn in the development of EHS.
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EHS is most common in marathons.
“In the latter, it is most common in marathons [14,44,45]”
From Nutrition-Related Adverse Outcomes in Endurance Sports Competitions: A Review of Incidence and Practical Recommendations (2020) · cites this paper as [14]
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- Authors
- Smith, R., Jones, N., Martin, D., & Kipps, C.
- Affiliations
- Nuffield Orthopaedic Centre (GB)
- UCL Centre for Altitude, Space and Extreme Environment Medicine, Institute of Sport, Exercise and Health (ISEH), London, UK
- Division of Surgery and Interventional Sciences, Institute of Sport, Exercise and Health (ISEH), London, UK
- Corresponding author
- Smith, R
- Venue
- BMJ Case Reports
- Publisher
- BMJ
- Published
- 2016-02-05
- Volume
- 2016
- Pages
- bcr2015212592
- ISSN
- 1757-790X (ISSN-L)
- PMC
- PMC4746505
- OpenAlex
- W2299839231
- Cited by
- 16
- References
- 23
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2021: 2 · 2020: 3 · 2019: 5 · 2016: 2
- FWCI
- 1.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- BMJ Case Reports (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Thermoregulation and physiological responses
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Rehabilitation › Exercise and Physiological Responses
- Keywords
- exertional heat stroke, monozygotic twins, marathon running, genetic susceptibility, cooling measures, backpack weight
- MeSH terms
- Adult, Diseases in Twins, Physical Exertion, United Kingdom, Humans, Male, Running, Twins, Monozygotic, Heat Stroke
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