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Colegio de Medicina Interna de México.

2022, Number 6

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Med Int Mex 2022; 38 (6)

Exercise induced exertional rhabdomyolysis

Orellana-Valdez IS, Santos-Lozano E, Fajardo-Leitzelar F, Sierra M

Language: Spanish
References: 14
Page: 1267-1273
PDF size: 174.20 Kb.


ABSTRACT

Background: Exertional rhabdomyolysis is induced by physical overexertion; it is reported since the beginning of the millennium with increasing frequency and coincides with the greater participation of the general population in sports centers and groups promoted by a higher level of awareness of the need to adhere to healthy lifestyles. This disease can account for one third of cases complicated by acute renal failure that, with aggressive initial medical management based on fluid replacement and close monitoring, is associated with low risk of mortality and other sequelae.
Clinical case:A 33-year-old male patient who suffered acute renal failure, diagnosed with exertional rhabdomyolysis with good clinical response to management measures and positive final evolution. Approach, initial and subsequent management correlated with close clinical-laboratory monitoring of patient are presented.
Conclusions: It is noted that even the evidence available for the management of these patients could induce over-treatment or increase in hospital stay, which could indicate that more evidence is needed to generate management and follow-up guidelines according to the characteristics of the patient with exertional rhabdomyolysis that differentiate him from the patient with rhabdomyolysis due to other causes. It is also recommended to initiate prevention process in sports centers and groups.


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