medigraphic.com
ISSN 1561-3194 (Electronic)

2014, Number 6

<< Back Next >>

Rev Ciencias Médicas 2014; 18 (6)

Rhabdomyolysis caused by propofol leads to acute renal failure

Brown C, Romeu RS, Hernández GME, Quintero PW

Language: Spanish
References: 10
Page: 1118-1124
PDF size: 114.05 Kb.


ABSTRACT

Introduction: the levels of psychotic manifestations that come with the epilepsy differ from its natural history and prognosis; these psychopathologic disorders have a close-temporal relationship with the seizures. Lack of knowledge of the main characteristics of epilepsy results in several complications for patients, as it weakens patient’s quality of life.
Case report: a 19 year-old female patient, middle-high educational level, married and breastfeeding a 5 months baby, who presented two febrile seizures in her childhood; at present apparently after the breaking-up of her marriage, she began with hearing hallucinations, delirious ideations of religious content, fear and psychomotor anxiety. In clinical interviews her slowness, perseverance in the course of thoughts, sensorial hyperesthesia, severe headache and emotional instability called attention. The studies conducted ruled out the presence of a tumor, but epileptiform discharges were evident in the temporal cortex area.
Conclusions: knowledge about the great variety of psychopathological manifestations that epileptic patients present, their relationship with the seizures and the timely identification modify its natural history, along with the perception the patient has about the disease s/he is suffering from.


REFERENCES

  1. Montero J, Lovesio C. Rabdomiólisis por spinning en nueve pacientes. MEDICINA (Buenos Aires). 2009; 69: 153-156 Revista de Ciencias Médicas de Pinar del Río. 2014; 18(6): 1118-1124

  2. Huerta-Aldin AL, Varon J, Marik PE. Bench-to-bedsidereview: rhabdomyolysis-an overview for clinicians. Critical Care. 2005; 9: 158-69.

  3. Rostagno A, Ghiso J. Análisis bioquímico de mioglobinuria asociada con rabdomiólisis. Acta Bioquím Clín Latinoam. 2013; 47(1): 15.

  4. Boutaud O, Roberts JL. Mechanism-Based Therapeutic Approaches to Rhabdomyolysis-Induced Renal Failure. Free Radic Biol Med. 2011 September 1; 51(5): 1062-1067.

  5. El-Abdellati et al. An observational study on rhabdomyolysis in the intensive care unit. Exploring its risk factors and main complication: acute kidney injury Annals of Intensive Care. 2013; 3:8

  6. Türk Hacer Şebnem, Aydoğmuş Meltem, Ünsal Oya, Köksal Hakan Mustafa, Açik Mehmet Eren, Oba Sibel. Sedação e analgesia em colonoscopia eletiva: propofolfentanil versus propofol-alfentanil. Rev. Bras. Anestesiol. 2013 Aug; 63(4): 353- 358.

  7. Cremer OL, Moons KGM, Bouman EAC, Kruijswijk JE, de Smet AM, Kalkman CJ. Long-term propofol infusion and cardiac failure in adult head-injured patients. Lancet. 2001; 357(9250):117-8.

  8. Shudong Fang, Hui Xu, et al. Continuous Veno-Venous Hemofiltration for Massive Rhabdomyolysis After Malignant Hyperthermia: Report of 2 Cases. Anesth Prog. 2013; 60(1): 21-24.

  9. Almeida da Silva SH, Almeida CS, Mendes Brandão JC, Nogueira e Silva CA, Pinto de Lorenzo ME et al. Hipertermia maligna no Brasil: análise da atividade do hotline em 2009. Rev. Bras. Anestesiol. 2013 Feb; 63(1): 20-26.

  10. Repizo Liliany P, Malheiros DM, Yu L, Barros Rui T, Burdmann EA. Biopsy proven acute tubular necrosis due to rhabdomyolysis in a dengue fever patient: a case report and review of literature. Rev. Inst. Med. trop. S. Paulo. 2014 Feb; 56(1): 85- 88




2020     |     www.medigraphic.com