Infectious disease
Zahra Rezaie; Shima Heidari; Ahmad Salimzadeh; Fatemeh Sadat Pirooz; Farhad Najmeddin
Volume 9, Issue 1 , January 2023, , Pages 66-71
Abstract
Objective: Since the identification and spread of the novel coronavirus disease 2019(COVID-19) in December 2019, respiratory presentations have been introduced as themain symptoms of this new type of viral disease; however, the extra-pulmonary featuresare raising awareness for researchers due to the ...
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Objective: Since the identification and spread of the novel coronavirus disease 2019(COVID-19) in December 2019, respiratory presentations have been introduced as themain symptoms of this new type of viral disease; however, the extra-pulmonary featuresare raising awareness for researchers due to the vast diversity of vital organs affectedby the virus. Among the wide range of clinical manifestations, limited data are availableregarding rhabdomyolysis (RML) in COVID-19.Case Presentation: In this report, we present a 58-year-old woman with COVID-19presenting with RML, with extremely elevated creatinine phosphokinase (CPK) and lactatedehydrogenase (LDH) levels (3283 and 1280 U/L, respectively) as the second sign ofdisease. Since the onset of the COVID-19 pandemic, several COVID-19 induced RML caseshave been reported, and timely diagnosis and proper management are of paramountimportance.Conclusion: Due to the findings that rhabdomyolysis can be a critical and missed cause ofmyalgia in COVID-19 patients, the importance of checking the serum level of CPK in patientswith myalgia and fatigue in the era of COVID-19 upon their arrival will be highlighted.
Emergency medicine
Alper Alp; Burcu Arslan; Dilek Gibyeli Genek; Bülent Huddam
Volume 9, Issue 1 , January 2023, , Pages 72-75
Abstract
Objective: Rhabdomyolysis is an important etiology for developing acute kidney injury(AKI). Among the many varying reasons for rhabdomyolysis, electrical injury seems to bea lesser-known factor. The clinical presentation of rhabdomyolysis is usually in the formof severe and widespread pain, tenderness, ...
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Objective: Rhabdomyolysis is an important etiology for developing acute kidney injury(AKI). Among the many varying reasons for rhabdomyolysis, electrical injury seems to bea lesser-known factor. The clinical presentation of rhabdomyolysis is usually in the formof severe and widespread pain, tenderness, weakness in the muscles and dark urine. Itis characterized by the disruption of cell integrity in myocytes as a result of widespreaddamage to skeletal muscles and the passage of intracellular components into thecirculation.Case Presentation: Here we presented a case report of a young man who hadrhabdomyolysis induced by electrical injury which is relatively less common among theother etiological factors with preserved renal functions. He had electrical injury relatedwounds on extremities. Urgent intravenous fluid therapy was initiated as soon as hisadmission to the emergency department (ED), without delay.Conclusion: AKI is very common due to the nephrotoxic effect of myoglobinuria and theprerenal status. It is rare that AKI does not develop in patients with a severe increase increatinine kinase. It is a very important point to start effective fluid therapy in a short time.
Clinical Toxicology
Mustafa Bolatkale; Muhittin İşsever; Ulaş Karaoğlu; Ahmet Cagdas Acara; Mehtap Bulut
Volume 4, Issue 1 , January 2018, , Pages 51-52
Abstract
Statins are commonly used drugs in the treatment of hyperlipidemia (HL), despite some undesirable side effects. These range from mild symptoms such as myopathy, muscle weakness and myalgia to severe muscle weakness associated with chronic myopathy and acute renal failure (ARF) as a result of rhabdomyolysis. ...
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Statins are commonly used drugs in the treatment of hyperlipidemia (HL), despite some undesirable side effects. These range from mild symptoms such as myopathy, muscle weakness and myalgia to severe muscle weakness associated with chronic myopathy and acute renal failure (ARF) as a result of rhabdomyolysis. The most serious and deadly side effect of statins is rhabdomyolysis. The case presented here is of a patient with rhabdomyolysis due to treatment with the antihyperlipidemic drug, atorvastatin.
Clinical Toxicology
Parash Ullah; Alamgir Chowdhury; Ishrat Tahsin Isha; Sultan Mahmood; Fazle Rabbi Chowdhury; Mohammad Zeesan-ul- Abir; Aziz Al Manna; Muhammad Ismail Patwary
Volume 2, Issue 2 , July 2016, , Pages 55-57
Abstract
Wasp sting is a relatively common arthropod assault. This usually results in pain and mild allergic reactions, but sometimes may cause severe systemic reaction and multiorgan dysfunction including rhabdomyolysis, hemolysis, coagulopathy, hepatic, renal and cardiac complications. Along with several ...
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Wasp sting is a relatively common arthropod assault. This usually results in pain and mild allergic reactions, but sometimes may cause severe systemic reaction and multiorgan dysfunction including rhabdomyolysis, hemolysis, coagulopathy, hepatic, renal and cardiac complications. Along with several other pathomechanisms, rhabdomyolysis is a distinguished cause of acute kidney injury (AKI) in patients with wasp sting. We herein report a case in which the patient developed rhabdomyolysis followed by AKI due to multiple wasp stings. The offending wasp was brought to the hospital and the species was confirmed by a zoologist (Vespa affinis).