Jaundice occurring after resolution of heat stroke

Presented is the case of a 19-year-old midshipman at the United States Naval Academy who developed heat stroke. After appropriate therapy and apparent resolution of the heat-related illness, the patient re-presented with jaundice and biochemical evidence of severe hepatitis. He improved with supportive care and was asymptomatic when discharged. The differential diagnosis and clinical course are described, and hepatic and metabolic effects of thermal injury are discussed.