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Exercise-Induced Rhabdomyolysis: A Case Report and Literature Review

机译:运动诱导的横纹肌溶解:一个案例报告和文献综述

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A 19-year-old man presented to the ED with bilateral leg pain and dark discoloration of the urine after he started an intense aerobic exercise. Blood workup showed significantly elevated?creatine kinase (CK), acute kidney injury (AKI), and disseminated intravascular coagulation (DIC). The patient had a double-incision, bilateral fasciotomy with debridement to relieve the bilateral, lower-limb, compartment syndrome following admission. Also, his kidney function deteriorated, requiring several sessions of hemodialysis. His hospital stay was complicated by multidrug-resistant (MDR) Acinetobacter baumannii bacteremia.?After three weeks of hospital admission, the patient was discharged home with a follow-up outpatient physiotherapy for bilateral foot drop, which showed a remarkable recovery eventually. This case highlights the potentially life-threatening risks associated with unaccustomed physical exercise and emphasizing the essential preventive measures to reduce the risk of developing exercise-induced rhabdomyolysis. We present the pathophysiology of exercise-induced rhabdomyolysis, clinical presentation, diagnosis, treatment, and prognosis.
机译:一名19岁男子患有双边腿部疼痛和尿液中的黑暗变色,在他开始激烈的有氧运动后。血液疗法显示出明显升高?肌酸激酶(CK),急性肾损伤(AKI),并弥散血管内凝血(DIC)。患者有一个双切口,双侧粉丝与清创术,以缓解双侧,低肢,隔室综合征。此外,他的肾功能劣化,需要几次血液透析。他的医院住宿经过多药(MDR)肺杆菌菌菌血糖症。在医院入院的三周内,患者被排放为双边脚下降的后续门诊物理治疗,这表明最终恢复了卓越的恢复。这种情况突出了与不习惯体育锻炼相关的潜在危及生命的风险,并强调基本的预防措施,以降低发展运动诱导的横纹肌溶解的风险。我们介绍运动诱导的横纹肌溶解,临床介绍,诊断,治疗和预后的病理生理学。

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