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Colegio de Medicina Interna de México.

2020, Number 4

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Med Int Mex 2020; 36 (4)

Stress rhabdomyolysis

Salado-Burbano JC, Eskenazi-Betech R, Alonso-De León MT, Canales-Albarrán SJ, Halabe-Cherem J

Language: Spanish
References: 35
Page: 575-584
PDF size: 224.64 Kb.


ABSTRACT

Background: Rhabdomyolysis refers to the breakdown of muscle fibers and the consequent release of different muscle proteins into the bloodstream. Multiple risk factors can contribute to the appearance of this condition, amongst which we will focus on exercise. The clinical picture begins with myalgias, weakness and muscular edema after physical activity and the subsequent appearance of pigmenturia. The diagnosis requires a high clinical suspicion and is confirmed by laboratory studies. The main goal of treatment is to prevent the onset of acute kidney injury. The patient can either be managed in an ambulatory fashion or require hospital admission and surveillance depending on the case’s severity.
Clinic case: A 19-year-old male patient with rhabdomyolysis due to vigorous physical activity who was managed within a hospital setting.
Conclusions: Diagnosis of stress rhabdomyolysis should be considered in all patients with persistent myalgias or weakness related to exercise, no matter the intensity of physical activity performed.


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