Low-intensity body building exercise induced rhabdomyolysis: a case report

Gagliano, M.; Corona, Daniela; Giuffrida, G; Giaquinta, Alessia; Tallarita, Tiziano; Zerbo, D.; Sorbello, Massimiliano; Paratore, A.; Virgilio, Carla; Cappellani, Alessandro; Veroux, Massimiliano

doi:10.1186/1757-1626-2-7

Cited by 39 publications

(23 citation statements)

References 3 publications

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“…Excessive muscular activity results in a state in which ATP production cannot keep pace with demand, which subsequently exhausts cellular energy supplies and leads to a disruption of muscle cell membranes. 8 Rhabdomyolysis cases associated with low-intensity exercise have also been reported; in these cases, the mechanism remains unknown 9…”

Section: Discussionmentioning

confidence: 99%

Rhabdomyolysis Related to Dyskinesia in Parkinson’s Disease

Bektaş¹,

Denız

Temel

et al. 2014

JMD

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Rhabdomyolysis is a life threatening syndrome. It accounts for an estimated 8% to 15% of cases of acute renal failure and is associated with a mortality rate of 5%. In movement disorders, various causes of rhabdomyolysis have been reported including status dystonicus, myoclonus, generalized chorea and parkinsonism-hyperprexia syndrome in Parkinson’s disease (PD). Levodopa-induced dyskinesia leading to rhabdomyolysis is a very rare phenomenon in PD. We report a case of 76 years old PD patient with dyskinesia and rhabdomyolysis.

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Section: Discussionmentioning

confidence: 99%

Rhabdomyolysis Related to Dyskinesia in Parkinson’s Disease

Bektaş¹,

Denız

Temel

et al. 2014

JMD

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“…Rhabdomyolysis can occur at any level of exercise intensity, even in low intensities (5, 7). Cases of recurrent exercise-induced rhabdomyolysis-associated with low-intensity fitness exercise were also reported (7,9). Underlying causes should be investigated in patients with recurrent rhabdomyolysis, and patients should be advised to avoid triggers and ensure adequate hydration and be encouraged to warm up before exercise (8,9).…”

Section: Case Presentationmentioning

confidence: 99%

Spinning-induced rhabdomyolysis: a case report and review of literature

Fidan¹,

Alkan²,

Uğurlu³

et al. 2015

Eur J Rheumatol

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Rhabdomyolysis is a condition of skeletal muscle breakdown in which muscle injury causes a release of myoglobin and the muscle enzymes creatine phosphokinase (CPK), lactate dehydrogenase (LDH), and transaminases. Exertional rhabdomyolysis, which is precipitated by exercise or exertion, ranges from mild muscle injury with negligible symptoms or systemic effects to fulminant cases. Herein, we report a 26-year-old female patient who was admitted to our Physical Medicine and Rehabilitation outpatient clinics with severe bilateral thigh pain persisting for 5 days after participating in a spinning class and diagnosed with exertional rhabdomyolysis. Timely diagnosis and treatment prevented the potentially life-threatening consequences. We assume that it is essential to raise the awareness of this phenomenon not only by physicians but also by the community, since regular exercise and being physically active are increasingly encouraged in modern life.

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“…This can be followed clinically by monitoring blood levels of myoglobin, creatine kinase, aspartate aminotransferase, alanine aminotransferase, and potassium. [5] The diagnosis of rhabdomyolysis is dependent on the presence of the clinical symptoms and an elevated creatine kinase level at least fi ve times the upper limit of normal. [6] In this case, the patient presented with a specific form of the condition known as exertional or exercise induced rhabdomyolysis (EIR).…”

Section: Discussionmentioning

confidence: 99%

A case of exercise induced rhabdomyolysis from calf raises

Gardecki

Schuitema

Espinosa

et al. 2017

World Journal of Emergency Medicine

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A 27-year-old male presented to the emergency department with acute exercise induced rhabdomyolysis (EIR) following low intensity, high repetition physical activity. It is paramount for the clinician to consider this diagnosis in the differential of the patient presenting with a complaint of musculoskeletal pain. This case highlights the necessity of staying vigilant for a condition that can develop with seemingly minor, repetitive training of a single muscle group, such as in the exercise of calf raises. CASEA 27-year-old male medical student presented to the emergency department with report of bilateral lower leg pain. The patient described the pain as crampy in nature, localized to the posterior aspect of both legs in the distribution of the gastrocnemius-soleus complex. Three days prior to arrival the patient engaged in an intensive exercise routine consisting of over 200 calf raises. The patient reported this activity as the only exercise he had preformed and that he did not engage in any routine exercise prior to the episode. Over the course of the preceding two days, the patient developed intense calf pain which impaired his ability to ambulate. The patient also reported the development of brown-colored urine and a generalized sense of weakness which caused him to seek medical attention. The patient had a past medical history significant for an unspecified mood disorder, gastroesophageal reflux disease, and obesity with a body mass index of 36. Surgical history was significant for wisdom teeth extraction. Outpatient medications included omeprazole, ritalin, and wellbutrin. He denied any drug allergies. Social history was negative for alcohol, tobacco, or illicit drug use.His initial presenting vital signs were signifi cant for relative hypertension with a blood pressure of 151/77 mmHg, heart rate of 96 beats per minute, respiratory rate of 16 breaths per minute, and he was afebrile with an oral temperature of 98.4 degrees Fahrenheit. Physical exam revealed a well appearing male in no acute distress. His pulmonary, cardiovascular, and abdominal exams were all unremarkable. On musculoskeletal exam, the patient was noted to have tenderness upon palpation over the posterior aspects of his bilateral lower legs. Of note, the patient was found to have full range of motion, full and symmetric strength testing of the lower extremity muscle groups, and no evidence of edema or calf asymmetry was identifi ed.The emergency physician ordered a complete blood count, basic metabolic panel, total creatine kinase, and urine analysis with associated microscopic evaluation. Results included blood urea nitrogen of 19 mg/dL, creatinine of 1.12 mg/dL, without an available baseline value in the record for comparison, white blood cell count of 9.2×10 3 /μL, hemoglobin of 16.0 g/dL, platelets of 184×10 3 /μL, and a total creatine kinase of 31 166 U/L. Urine analysis revealed a clear yellow appearing urine with a specific gravity of >1.030, qualitatively large blood, and no evidence of nitrates or leukocyte esterase. Microscopic an...

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Low-intensity body building exercise induced rhabdomyolysis: a case report

Cited by 39 publications

References 3 publications

Rhabdomyolysis Related to Dyskinesia in Parkinson’s Disease

Rhabdomyolysis Related to Dyskinesia in Parkinson’s Disease

Spinning-induced rhabdomyolysis: a case report and review of literature

A case of exercise induced rhabdomyolysis from calf raises

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