Rhabdomyolysis in adolescent athletes: review of cases

Hummel, K.; Gregory, Andrew; Desai, Neerav; Diamond, Alex B.

doi:10.1080/00913847.2016.1170582

Cited by 19 publications

(7 citation statements)

References 25 publications

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“…Thus, due to the morbimortality associated with rhabdomyolysis, the best intervention would be the prevention [ 6 ]. On another hand, previous studies of ECP induced rhabdomyolysis demonstrated failures in training strategies for practitioners of the modality [ 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Exertional Rhabdomyolysis after an Extreme Conditioning Competition: A Case Report

Tibana

Sousa²,

Cunha

et al. 2018

Sports

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This case report describes an instance of exercise-induced rhabdomyolysis caused by an extreme conditioning program (ECP) competition. A 35-year-old female presented with abdominal pain and soreness, which began one day after she completed two days of ECPcompetition composed of five workouts. Three days after competition, creatine kinase (CK) was 77,590 U/L accompanied by myalgia and abnormal liver function tests, while renal function was normal and this resulted in a diagnosis of rhabdomyolysis. A follow-up examination revealed that her serum level of CK was still elevated to 3034 U/L on day 10 and 1257 U/L on day 25 following the ECP competition. The subject reported myalgia even up to 25 days after the ECP competition. Exertional rhabdomyolysis can be observed in ECP athletes following competition and highlights a dangerous condition, which may be increasing in recent years due to the massive expansion of ECP popularity and a growing number of competitions. Future research should investigate the causes of rhabdomyolysis that occur as a result of ECP, especially training methods and/or tasks developed specifically for these competitions.

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Section: Introductionmentioning

confidence: 99%

Exertional Rhabdomyolysis after an Extreme Conditioning Competition: A Case Report

Tibana

Sousa²,

Cunha

et al. 2018

Sports

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“…Hereditary causes of rhabdomyolysis are metabolic myopathies ( 2 ). Acquired causes of rhabdomyolysis are: trauma and crush syndrome, surgery, extreme physical activity, influence of extreme temperatures, metabolic disorders of water and salts, vascular ischaemia, surgery, various drugs (statins, corticosteroids, antidepressants, neuroleptics, barbiturates, benzodiazepines, salicylates, theophylline, aminocapronic acid) and anesthetics, alcohol abuse, cocaine abuse, neuroleptic malignant syndrome, seizures, toxins, infections or sepsis, prolonged immobilization, carbon monoxide (CO), endocrine disorders, malignant hyprtermia, electrical current and connective tissue disorders ( 2 - 6 ). Despite the vast variety of causes of rhabdomyolysis, the pathogenesis follows common pathway that ultimately leads to destruction of myocytes and release of its components into circulation ( 2 , 3 , 7 - 10 ).…”

Section: Introductionmentioning

confidence: 99%

Rhabdomyolysis in Critically Ill Surgical Patients

Кузмановска¹,

Cvetkovska²,

Kuzmanovski³

et al. 2016

Med Arh

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Introduction:Rhabdomyolysis is a syndrome of injury of skeletal muscles associated with myoglobinuria, muscle weakness, electrolyte imbalance and often, acute kidney injury as severe complication.The aim:of this study is to detect the incidence of rhabdomyolysis in critically ill patients in the surgical intensive care unit (ICU), and to raise awareness of this medical condition and its treatment among the clinicians.Material and methods:A retrospective review of all surgical and trauma patients admitted to surgical ICU of the University Surgical Clinic “Mother Teresa” in Skopje, Macedonia, from January 1st till December 31st 2015 was performed. Patients medical records were screened for available serum creatine kinase (CK) with levels > 200 U/l, presence of myoglobin in the serum in levels > 80 ng/ml, or if they had a clinical diagnosis of rhabdomyolysis by an attending doctor. Descriptive statistical methods were used to analyze the collected data.Results:Out of totally 1084 patients hospitalized in the ICU, 93 were diagnosed with rhabdomyolysis during the course of one year. 82(88%) patients were trauma patients, while 11(12%) were surgical non trauma patients. 7(7.5%) patients diagnosed with rhabdomyolysis developed acute kidney injury (AKI) that required dialysis. Average values of serum myoglobin levels were 230 ng/ml, with highest values of > 5000 ng/ml. Patients who developed AKI had serum myoglobin levels above 2000 ng/ml. Average values of serum CK levels were 400 U/l, with highest value of 21600 U/l. Patients who developed AKI had serum CK levels above 3000 U/l.Conclusion:Regular monitoring and early detection of elevated serum CK and myoglobin levels in critically ill surgical and trauma patients is recommended in order to recognize and treat rhabdomyolysis in timely manner and thus prevent development of AKI.

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“…In 2016, Hummel et al presented a series of cases of RB in young athletes. They described numerous cases of RB caused by one or a few strenuous workout sessions after a period of prolonged inactivity [20]. This article described six cases in which patients presented with RB after participation in the CrossFit exercise regimen.…”

Section: Discussionmentioning

confidence: 99%

Lose 500,000 Creatine Phosphokinase With a 2-Hour Workout: A Case Report on Rhabdomyolysis in a Novice Athlete

Khan

Freg

El‐Charabaty

et al. 2016

World J Nephrol Urol

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The co-occurrence of acute kidney injury secondary to rhabdomyolysis in a young patient can present as a prognostic and therapeutic challenge. Here we report a case with an unusually high creatinine phosphokinase of over 500,000 U/L after a 2-hour workout session at the gym. The challenge was to assess if the need for renal replacement therapy was warranted and whether IV fluid therapy with close monitoring would be enough to treat him, given he had a good urine output and no acid base disorder. The literature is reviewed as an attempt to delineate a rational approach to evaluating novice athletes at risk for rhabdomyolysis.

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Rhabdomyolysis in adolescent athletes: review of cases

Cited by 19 publications

References 25 publications

Exertional Rhabdomyolysis after an Extreme Conditioning Competition: A Case Report

Exertional Rhabdomyolysis after an Extreme Conditioning Competition: A Case Report

Rhabdomyolysis in Critically Ill Surgical Patients

Lose 500,000 Creatine Phosphokinase With a 2-Hour Workout: A Case Report on Rhabdomyolysis in a Novice Athlete

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