Fraternity hazing can cause a variety of injuries and deaths. We recen
tly had the opportunity to investigate a heat-related death that occur
red during a college fraternity event. The original death investigatio
n did not consider the circumstances of death, environmental condition
s, or the subtle autopsy findings related to heat stroke. This case is
intended to alert health care professionals that deaths on college ca
mpuses may be related to fraternity hazing and may require in-depth in
vestigations. An analysis of the death and a discussion of heat-relate
d injuries are presented.