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Exertlonal Maladies: Lessons and Questions from Recurring Events

机译：严重的疾病：反复发生的事件和问题

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摘要

In prior columns, I have covered various exertional maladies. These include team outbreaks of exertional rhabdomyolysis, exertional sickling deaths in athletes, and mysterious deaths in competitive open-water swimmers, mainly triathletes. These three areas of sports medicine seem worth revisiting because ongoing occurrences offer lessons and raise questions.Outbreaks of exertional rhabdomyolysis continue to occur. Too often, when these outbreaks occur in a team, they initially are called a "mystery illness," and well-meaning persons trying to pinpoint the cause fly off on a dozen wild-goose chases. This happened in McMinnville, OR, in 2010, when 22 of 43 high school football players went to the hospital -and 12 were admitted - for acute rhabdomyolysis they suffered in a "football immersion camp." Theories to explain this outbreak included bad food or water, anabolic steroids, creatine or other supplements, sports drinks, bacteria in the wrestling mats, influenza, carbon monoxide, chemicals, mushrooms, mold, and poisoning by an evildoer (5).
机译：在之前的专栏中，我讨论了各种劳累性疾病。这些包括团队爆发性运动性横纹肌溶解症，运动员的运动性镰刀死亡，以及竞争性开放水域游泳者（主要是铁人三项运动员）的神秘死亡。运动医学的这三个领域似乎值得重新审视，因为不断发生的事件提供了教训并引发了疑问。劳累性横纹肌溶解症的爆发仍在继续发生。通常，当团队中发生这些暴发时，它们最初被称为“神秘疾病”，好心的人试图找出原因，在十二次野鹅追逐中飞走。这发生在俄勒冈州的麦克明维尔市，2010年，当时43名高中足球运动员中有22名去了医院-并入院了12名-他们在“足球浸没营地”遭受了急性横纹肌溶解。解释这一暴发的理论包括不良食物或水，合成代谢类固醇，肌酸或其他补品，运动饮料，摔跤垫中的细菌，流感，一氧化碳，化学药品，蘑菇，霉菌和邪恶者中毒（5）。

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