BACKGROUND:This case report describes a university student who participated in an orientation activity and developed exertional rhabdomyolysis.METHODS:With prompt intravenous volume expansion started in the accident and emergency department,he made an uneventful recovery despite a marked elevation of creatine kinase.The risk factors of developing exertional rhabdomyolysis were reviewed.Suggestions based on these risk factors were made to the organizers of such orientation programmes.RESULTS:He was discharged on day 6.On follow-up on day 8 after presentation at the accident and emergency department,the CK level was 46 000 U/L and it fell to 2600 U/L in another 2weeks.On follow-up 3 weeks after the incident,he remained well without symptoms.CONCLUSION:For the clinicians,once rhadbomyolysis is suspected or diagnosed,intravenous fluid therapy with a crystalloid should be initiated as soon as possible to prevent the occurrence of acute renal faiure.
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