Exercise-induced rhabdomyolysis with acute kidney injury: A case report with review of literature

Shinde, Varsha; Shinde, Sambhaji R.; Mali, Manish

doi:10.4103/0975-2870.140498

Cited by 4 publications

(3 citation statements)

References 1 publication

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“…About 33%–50% of rhabdomyolysis patients will develop acute kidney injury,[ 1 15 16 ] and 7%–10% of all occurring acute kidney injury are due to rhabdomyolysis. [ 4 17 18 ] However, the mechanisms for this condition are diverse and not fully understood. Renal US is particularly important in the evaluation of acute kidney injury if the diagnosis of rhabdomyolysis is unclear or the clinical course is not as expected.…”

Section: Discussionmentioning

confidence: 99%

Retrospective comparison of renal ultrasonographic and clinical findings in patients with rhabdomyolysis

et al. 2020

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Background: This study evaluated the ultrasonographic and clinical findings of two groups with rhabdomyolysis, who showed abnormal or normal ultrasonographic findings of kidneys. Methods: Two groups ( n = 78) of abnormal (A) and normal (B) renal ultrasonographic findings were included. Multiple laboratory findings were assessed within 2 days before or after ultrasonography. Student's t -test or Mann–Whitney U-test was used for statistical analysis. Results: The variable causes of rhabdomyolysis were intense exercise, burn, operation, shivering, and drug intoxication, etc. Group A ( n = 26; M:F = 19:7) showed enlarged both kidneys, increased parenchymal thickness, and increased ( n = 23, 88.5%) or decreased ( n = 3, 11.5%) cortical echogenicity. Group A also showed elevated blood urea nitrogen (BUN), creatinine, potassium, and prolonged activated partial thromboplastin time (aPTT), compared with those in Group B ( n = 52; M:F = 36:16), and these results were statistically significant ( P < 0.01). The myoglobin in serum and urine, creatine kinase, prothrombin time, dark urine, and microscopic hematuria were not statistically different between the two groups. Conclusion: Patients with elevated BUN, creatinine, potassium, and prolonged aPTT showed the ultrasonographic findings of acute kidney injury, but other parameters were not statistically different between the two groups.

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Section: Discussionmentioning

confidence: 99%

Retrospective comparison of renal ultrasonographic and clinical findings in patients with rhabdomyolysis

et al. 2020

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“…While not uncommon, there are few documented cases of exertion‐induced rhabdomyolysis localised to specific muscle groups. These include rhabdomyolysis isolated to both the biceps and triceps muscles in weightlifters, soleus muscle due to lightning strike and bilateral adductor muscles in a hiker . Many mild cases may go undiagnosed, being thought to be due to a muscle strain.…”

Section: Discussionmentioning

confidence: 99%

Exertion‐induced rhabdomyolysis of the long head of the triceps

Armfield¹

2015

Sonography

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“…Oftast er þeim lýst í skýrslum um sjúkratilfelli [31][32][33][34] eða í rannsóknum á hópi einstaklinga sem iðka sömu íþrótt. 11,14 Þó er talið að helstu athafnir sem leiða til rákvöðvarofs séu herþjálfun, langhlaup og vaxtarraekt.…”

Section: Umraeðaunclassified

Visits of patients with exertional rhabdomyolysis to the Emergency Department at Landspítali, The National University of Iceland in the years 2008-2012

Halldórsson¹,

Benediks²,

Ólafsson³

et al. 2016

LBL

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Introduction: Overexertion and too much training are among the multiple etiologies of rhabdomyolysis. Creatine kinase (CK) and myoglobine, released from skeletal muscle cells, are useful for diagnosis and follow-up. Acute kidney injury is a serious complication of myoglobinemia. Literature on exertional rhabdomyolysis in the general population is scarce. The aim of this study was to investigate the epidemiology of exertional rhabdomyolysis among patients diagnosed at Landspítali The National University Hospital of Iceland in 2008-2012. Materials and methods: The study was retrospective and observational. All patients presenting with muscle pain after exertion and elevated creatine kinase >1000 IU/L, during the period from 1 January 2008 to 31 December 2012, were included. Patients with CK elevations secondary to causes other than exertion were excluded. Variables included: patient number and gender, CK-levels, date of hospital admission, cause of rhabdomyolysis, location of injured muscle groups, length of hospital stay, complications and means of fluid replacement. Population figures of the capital region were gathered from Statistics Iceland and information on sport practice in the capital region from The National Olympic and Sports Association of Iceland. Results: Exertional rhabdomyolysis was diagnosed in 54 patients, 18 females (33,3%) and 36 males (66,7%), or 8,3% of rhabdomyolysis cases from all causes in the study period (648 cases). Incidence in the capital region was 5,0/100.000 inhabitants per year in the study period. Median age was 28 years and median CK-level was 24.132 IU/L. CK-levels were higher among females but the difference between genders was not significant. Muscle groups of the upper and lower extremities were most frequently affected (89%). Thirty patients received intravenous fluids. They had significantly higher CK values than other patients. One patient developed acute kidney injury. Information on sport practice and physical training in the capital region was not available. Conclusion: Exertional rhabdomyolysis is uncommon but mostly affects younger people. Information on the practice of exertion among males and females is not available but CK-levels were not significantly different between genders, age groups or different muscle groups. CK-levels were high but complications uncommon. Studies of exertional rhabdomyolysis in the general population are lacking.

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Exercise-induced rhabdomyolysis with acute kidney injury: A case report with review of literature

Cited by 4 publications

References 1 publication

Retrospective comparison of renal ultrasonographic and clinical findings in patients with rhabdomyolysis

Retrospective comparison of renal ultrasonographic and clinical findings in patients with rhabdomyolysis

Exertion‐induced rhabdomyolysis of the long head of the triceps

Visits of patients with exertional rhabdomyolysis to the Emergency Department at Landspítali, The National University of Iceland in the years 2008-2012

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