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Acute kidney injury due to rhabdomyolysis after status epilepticus: Two pediatric case reports

Year 2013, , 517 - 520, 01.12.2013
https://doi.org/10.5799/ahinjs.01.2013.04.0337

Abstract

Rhabdomyolysis is defined as degeneration of skeletal muscle due to traumatic or non-traumatic causes. With the injury of sarcolemma, myocyte contents (myoglobin, enzymes and electrolytes) leakage into the plasma and urine occurs. If rhabdomyolysis is not recognized and untreated, severe even fatal complications such as acute kidney injury (AKI), hypocalcemia, hyperkalemia, hypovolemia, muscle necrosis, cardiac arrythmias and compartment syndrome may occur. Status epilepticus is an uncommon cause of rhabdomyolysis and myoglobinuria. We report here two pediatric patients, who developed myoglobinuria and AKI due to status epilepticus. J Clin Exp Invest 2013; 4 (4): 517-520

References

  • Khan FY. Rhabdomyolysis: a review of the literature. Neth J Med 2009;67:272-283.
  • Hojs R, Ekart R, Sinkovic A, Hojs-Fabjan T. Rhabdo- myolysis and acute renal failure in intensive care unit. Ren Fail 1999;21:675-684.
  • Holt S, Moore K. Pathogenesis of renal failure in rhabdomyolysis: the role of myoglobin. Exp Nephrol 2000;8:72-76.
  • El-Abdellati E, Eyselbergs M, Sirimsi H, et al. An obser- vational study on rhabdomyolysis in the intensive care unit. Exploring its risk factors and main complication: acute kidney injury. Ann Intensive Care 2013;3:8 doi: 10.1186/2110-5820-3-8.
  • Mattana J, Singhal PC. Determinants of elevated cre- atine kinase activity and creatine kinase MB-frac- tion following cardiopulmonary resuscitation. Chest 1992;101:1386-1392.
  • Huerta-Alardín AL, Varon J, Marik PE Bench-to-bed- side review: Rhabdomyolysis -- an overview for clini- cians. Crit Care 2005;9:158-169.
  • Gabow PA, Kaehny WD, Kelleher SP. The spectrum of rhabdomyolysis. Medicine 1982;61:141-152.
  • Al-Ismaili Z, Piccioni M, Zappitelli M. Rhabdomyolysis: pathogenesis of renal injury and management. Pedi- atr Nephrol 2011;26:1781-1788.
  • Mannix R, Tan ML, Wright R, Baskin M. Acute pediatric rhabdomyolysis: causes and rates of renal failure. Pe- diatrics 2006;118:2119-2125.
  • Elsayed EF, Reilly RF. Rhabdomyolysis: a review, with emphasis on the pediatric population. Pediatr Nephrol 2010;2:7-18.
  • Kim KK. Exogenous causes of myoglobinuria- review of 26 cases. J Korean Med Sci 1996;11:342-346.

Acute kidney injury due to rhabdomyolysis after status epilepticus: Two pediatric case reports

Year 2013, , 517 - 520, 01.12.2013
https://doi.org/10.5799/ahinjs.01.2013.04.0337

Abstract

Rabdomiyoliz, travmatik veya non-travmatik sebeplerle çizgili kas hücrelerinin hasara uğramasıdır. Hasar sonrası kas hücre içeriği (miyoglobin, enzim ve elektrolitler) dolaşıma katılır. Rabdomiyoliz teşhis ve tedavi edilmezse akut böbrek hasarı (ABH), hipokalsemi, hiperkalemi, hipovolemi, kas nekrozu, kardiyak aritmi ve kompartman sendromu gibi ciddi komplikasyonlara neden olabilir. Status epileptikus, rabdomiyoliz ve miyoglobinürinin nadir sebeplerindendir. Bu yazıda status epileptikus sonrası miyoglobinüri ve ABH gelişen iki pediatrik olgu sunulmuştur.

References

  • Khan FY. Rhabdomyolysis: a review of the literature. Neth J Med 2009;67:272-283.
  • Hojs R, Ekart R, Sinkovic A, Hojs-Fabjan T. Rhabdo- myolysis and acute renal failure in intensive care unit. Ren Fail 1999;21:675-684.
  • Holt S, Moore K. Pathogenesis of renal failure in rhabdomyolysis: the role of myoglobin. Exp Nephrol 2000;8:72-76.
  • El-Abdellati E, Eyselbergs M, Sirimsi H, et al. An obser- vational study on rhabdomyolysis in the intensive care unit. Exploring its risk factors and main complication: acute kidney injury. Ann Intensive Care 2013;3:8 doi: 10.1186/2110-5820-3-8.
  • Mattana J, Singhal PC. Determinants of elevated cre- atine kinase activity and creatine kinase MB-frac- tion following cardiopulmonary resuscitation. Chest 1992;101:1386-1392.
  • Huerta-Alardín AL, Varon J, Marik PE Bench-to-bed- side review: Rhabdomyolysis -- an overview for clini- cians. Crit Care 2005;9:158-169.
  • Gabow PA, Kaehny WD, Kelleher SP. The spectrum of rhabdomyolysis. Medicine 1982;61:141-152.
  • Al-Ismaili Z, Piccioni M, Zappitelli M. Rhabdomyolysis: pathogenesis of renal injury and management. Pedi- atr Nephrol 2011;26:1781-1788.
  • Mannix R, Tan ML, Wright R, Baskin M. Acute pediatric rhabdomyolysis: causes and rates of renal failure. Pe- diatrics 2006;118:2119-2125.
  • Elsayed EF, Reilly RF. Rhabdomyolysis: a review, with emphasis on the pediatric population. Pediatr Nephrol 2010;2:7-18.
  • Kim KK. Exogenous causes of myoglobinuria- review of 26 cases. J Korean Med Sci 1996;11:342-346.
There are 11 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Ahmet Midhat Elmacı This is me

Fatih Akın This is me

Erhan Aksoy This is me

Publication Date December 1, 2013
Published in Issue Year 2013

Cite

APA Elmacı, A. M., Akın, F., & Aksoy, E. (2013). Acute kidney injury due to rhabdomyolysis after status epilepticus: Two pediatric case reports. Journal of Clinical and Experimental Investigations, 4(4), 517-520. https://doi.org/10.5799/ahinjs.01.2013.04.0337
AMA Elmacı AM, Akın F, Aksoy E. Acute kidney injury due to rhabdomyolysis after status epilepticus: Two pediatric case reports. J Clin Exp Invest. December 2013;4(4):517-520. doi:10.5799/ahinjs.01.2013.04.0337
Chicago Elmacı, Ahmet Midhat, Fatih Akın, and Erhan Aksoy. “Acute Kidney Injury Due to Rhabdomyolysis After Status Epilepticus: Two Pediatric Case Reports”. Journal of Clinical and Experimental Investigations 4, no. 4 (December 2013): 517-20. https://doi.org/10.5799/ahinjs.01.2013.04.0337.
EndNote Elmacı AM, Akın F, Aksoy E (December 1, 2013) Acute kidney injury due to rhabdomyolysis after status epilepticus: Two pediatric case reports. Journal of Clinical and Experimental Investigations 4 4 517–520.
IEEE A. M. Elmacı, F. Akın, and E. Aksoy, “Acute kidney injury due to rhabdomyolysis after status epilepticus: Two pediatric case reports”, J Clin Exp Invest, vol. 4, no. 4, pp. 517–520, 2013, doi: 10.5799/ahinjs.01.2013.04.0337.
ISNAD Elmacı, Ahmet Midhat et al. “Acute Kidney Injury Due to Rhabdomyolysis After Status Epilepticus: Two Pediatric Case Reports”. Journal of Clinical and Experimental Investigations 4/4 (December 2013), 517-520. https://doi.org/10.5799/ahinjs.01.2013.04.0337.
JAMA Elmacı AM, Akın F, Aksoy E. Acute kidney injury due to rhabdomyolysis after status epilepticus: Two pediatric case reports. J Clin Exp Invest. 2013;4:517–520.
MLA Elmacı, Ahmet Midhat et al. “Acute Kidney Injury Due to Rhabdomyolysis After Status Epilepticus: Two Pediatric Case Reports”. Journal of Clinical and Experimental Investigations, vol. 4, no. 4, 2013, pp. 517-20, doi:10.5799/ahinjs.01.2013.04.0337.
Vancouver Elmacı AM, Akın F, Aksoy E. Acute kidney injury due to rhabdomyolysis after status epilepticus: Two pediatric case reports. J Clin Exp Invest. 2013;4(4):517-20.