Finish Line Fatigue: Weakness In A Triathlete During A Mass Participation Event - Page #1
 

Author: Brenna Ori, DO
Senior Editor: Heather Rainey, MD
Editor: Jesse Miller, MD

Patient Presentation:
A 19-year-old male triathlete presented to the medical tent at the USA Triathlon following the <br>completion of an Olympic distance event reporting profound fatigue. The patient stated he felt <br>well during the whole race, but at the finish line noticed a sudden overwhelming sense of <br>weakness that felt different than normal post-race fatigue. Other associated symptoms included <br>mild abdominal pain and some muscle tightness.

History:
The patient reported similar incidents of these <br>symptoms during past races though admitted that his current symptoms are much milder than they <br>have been previously. He has required hospitalization for similar symptoms at prior events. His <br>past medical history is significant for adrenoleukodystrophy status post bone marrow transplant 8 <br>years ago and primary adrenal insufficiency for which he is on hydrocortisone 25mg daily <br>divided into three doses and fludrocortisone 0.1mg daily.

Physical Exam:
General: Awake, alert, and answering questions appropriately <br>Skin: Diaphoretic consistent with recent physical exertion <br>CV: Tachycardic, no murmurs <br>Respiratory: Lungs clear to auscultation <br>Abdominal: Soft and not tender to palpation <br>MSK: Moving all four extremities against gravity, but was unable to stand without assistance due <br>to weakness.

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NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

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